Individual provider Active NPI

Emily Claire Vafek, M.D.

  • Orthopaedic Surgery Physician
  • Niantic, CT
National Provider Identifier
1790070043
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
56460 Issued in CT
Practice address
11 Industrial Park Road
Niantic, CT 06357
Phone
(860) 889-7345
NPI assigned
Jun 15, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X 56460 CT Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 56460 CT
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 036.140147 IL
Diagnostic Radiology Physician 2085R0202X 56460 CT

Addresses

Primary practice location

11 Industrial Park Road
Niantic, CT 06357

Mailing address

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Other practice location 1

Medical Center Blvd
Box 1070
Winston Salem, NC 27157-1070
Phone (336) 716-3946

Other practice location 2

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626002604 CT Practitioner - Orthopedic Surgery 4587965785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwich Orthopedic Group PCGroup PAC ID 6709820798, 48 clinicians

Practice addresses (Care Compare)

11 Industrial Park Rd
Niantic, CT 06357-1210
Phone (860) 889-7345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
83.12
Improvement activities
40
Cost
84.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56460CTMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norwich Orthopedic Group, P.C. Orthopaedic Surgery CurrentSince Aug 1, 2017 Accepting new patients
Norwich Orthopedic Group, P.C. Orthopaedic Surgery CurrentSince Aug 1, 2017 Accepting new patients

Locations

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

11 Industrial Park Rd
Niantic, CT 06357
Phone (860) 885-7223

82 New Park Ave
North Franklin, CT 06254
Phone (860) 885-7223

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

140 Cross Rd
Waterford, CT 06385
Phone (860) 701-0140

Interoperability endpoints

  • Direct secure messaging: emily.vafek@xdr.hhchealthdirect.org

Organizations & group practices 2

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 5

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790070043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345",
            "fax_number": "860-885-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL PARK ROAD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "06357",
            "telephone_number": "860-889-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_2": "Box 1070",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271571070",
            "country_code": "US",
            "telephone_number": "336-716-3946",
            "fax_number": "366-716-3861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "82 New Park Ave",
            "address_purpose": "LOCATION",
            "city": "North Franklin",
            "state": "CT",
            "postal_code": "062541807",
            "country_code": "US",
            "telephone_number": "860-889-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAFEK",
        "first_name": "EMILY",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "56460",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CT",
            "license": "56460",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "IL",
            "license": "036.140147",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "56460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

Verify at the official NPI Registry.