Individual provider Active NPI

Mark Taylor, MD

  • Gastroenterology Physician
  • Hamden, CT
National Provider Identifier
1790766525
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
029611 Issued in CT
Practice address
2200 Whitney Ave
Suite 360
Hamden, CT 06518-3691
Phone
(203) 281-4463
Fax
(203) 287-2930
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 029611 CT Primary

Addresses

Primary practice location

2200 Whitney Ave
Suite 360
Hamden, CT 06518-3691

Mailing address

2200 Whitney Ave
Suite 360
Hamden, CT 06518-3691
Phone (203) 281-4463

Other identifiers 1

IdentifierTypeStateIssuer
001296111MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.taylor@xdr.hhchealthdirect.org Health Information Exchange (HIE)

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
I20090421000626 CT Practitioner - GastroenterologyPractitioner - Internal Medicine 9133125701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Tufts University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians

Practice addresses (Care Compare)

2200 Whitney Ave
Suite 360
Hamden, CT 06518-3602
Phone (203) 281-4463

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029611CTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Sep 12, 2012 Accepting new patients
HHC Physician Services, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Sep 12, 2012 Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients
Saint Raphael Faculty Physicians Gastroenterology Past Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

1591 Boston Post Rd
Ste 206
Guilford, CT 06437
Phone (203) 281-3636

2200 Whitney Ave
Ste 270
Hamden, CT 06518
Phone (203) 281-4463

40 Commerce Park
Milford, CT 06460
Phone (203) 878-3531

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

2200 Whitney Ave
Ste 360
New Haven, CT 06518
Phone (203) 281-4463

240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Organizations & group practices 6

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

Hospital & facility affiliations 4

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1790766525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-281-4463",
            "fax_number": "203-287-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-281-4463",
            "fax_number": "203-287-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "029611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001296111",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.taylor@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2200 Whitney Ave",
            "address_2": "Suite 360",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065183691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.