NPIMap

Individual provider Active NPI

Naomi Nomizu, M.D.

  • Internal Medicine Physician
  • New London, CT
National Provider Identifier
1780681833
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024726 Issued in CT
Practice address
276 Montauk Ave
New London, CT 06320-4727
Phone
(860) 443-7907
Fax
(860) 442-6730
NPI assigned
Jul 5, 2005
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024726 CT Primary

Addresses

Primary practice location

276 Montauk Ave
New London, CT 06320-4727

Mailing address

276 Montauk Ave
New London, CT 06320-4727
Phone (860) 443-7907

Other identifiers 1

IdentifierTypeStateIssuer
1247261MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070329000499 CT Practitioner - Internal Medicine 3173549599 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

1 John H Stewart Dr
Newington, CT 06111-3126
Phone (860) 667-4453

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
79.59
Promoting interoperability
100
Improvement activities
40
Cost
81.22

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024726CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windham Community Memorial Hospital, Inc. CurrentSince Dec 18, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Apr 1, 2023 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Dec 28, 2020 Accepting new patients
Morren & Nomizu Internal Medicine Current Accepting new patients
The William W Backus Hospital Current Accepting new patients
Morren & Nomizu MD PC CurrentSince Oct 14, 2005 Accepting new patients
William W Backus Hospital CurrentSince Jun 15, 2009 Accepting new patients
Hartford Hospital CurrentSince Dec 28, 2020 Accepting new patients
L&M Physician Association, Inc Internal Medicine Past Accepting new patients
Conncare Inc Internal Medicine Past Accepting new patients

Locations

652 W Avon Rd
Avon, CT 06001
Phone (860) 673-2521

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

365 Montauk Ave
Rm 4
New London, CT 06320

1 John H Stewart Dr
Newington, CT 06111
Phone (860) 607-4453

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

5 Founders St
Ste 100
Willimantic, CT 06226
Phone (860) 423-9764

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1780681833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204727",
            "telephone_number": "860-443-7907",
            "fax_number": "860-442-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204727",
            "telephone_number": "860-443-7907",
            "fax_number": "860-442-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMIZU",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "024726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1247261",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.