Elliot David Agin, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Milford, CT
NPI 1790729093 · NPPES record last updated Dec 16, 2013
Key facts
- NPI
- 1790729093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 25364 (CT)
- Practice address
- 849 Boston Post Rd
200
Milford, CT 06460-3537 - Phone
- (203) 874-1512
- Fax
- (203) 874-3877
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080626000384 | CT | Practitioner - Cardiovascular Disease (Cardiology) |
4284706813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25364 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Hospital | Current |
Accepting new patients | |
| Bridgeport Hospital | Current |
Accepting new patients | |
| Cardiovascular Physicians & Consultants, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Cardiovascular Disease | Past |
Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000
Interoperability endpoints
- elliot.agin@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25364 | CT | Yes |
Addresses
Primary practice location
849 Boston Post Rd
200
Milford, CT 06460-3537
Mailing address
849 Boston Post Rd
200
Milford, CT 06460-3537
Phone (203) 874-1512
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1253640 | Medicaid | CT |
Other providers in Milford, CT
- Advanced Back& Neck Center
- Advanced Interventional Pain Management, P.C.
- Advanced Mobile Imaging, LLC
- Advanced Mobile Imaging, LLC
- Advanced Telemedicine LLC
- Moin Ahmed
- Naadia Soraya Ahmed
- Kiersten Aichinger
- Alan J Malitz MD PC
- Alison Albino
All providers in Milford, CT · Cardiovascular Disease Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.