Individual provider Active NPI

Michael R Tinkler, M.D.

  • Emergency Medicine Physician
  • Waterbury, CT
National Provider Identifier
1790868487
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
030371 Issued in CT
Practice address
171 Grandview Ave
Ste 105
Waterbury, CT 06708-2519
Phone
(203) 755-2214
Fax
(203) 596-1133
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 030371 CT Primary
Internal Medicine Physician 207R00000X 030371 CT
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 030371 CT

Addresses

Primary practice location

171 Grandview Ave
Ste 105
Waterbury, CT 06708-2519

Mailing address

171 Grandview Ave
Ste 105
Waterbury, CT 06708-2519
Phone (203) 755-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110228000692 CT Practitioner - Emergency MedicinePractitioner - Internal Medicine 8022299734 Reassigns benefits to 2 organizations
I20170601001916 CT Practitioner - Internal MedicinePractitioner - Emergency Medicine 8022299734 Reassigns benefits to 5 organizations
Practice locations: Meriden, CT; Waterbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
State University of New York Downstate Medical Center, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

5 Highland St
New Britain, CT 06052-2013
Phone (860) 224-5900

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1094
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030371CTMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nems PLLC Emergency Medicine CurrentSince Mar 14, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 1, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jul 1, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Midstate Medical Center CurrentSince Jan 1, 1995 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Midstate Medical Center CurrentSince Jan 1, 1995 Accepting new patients
Northeast Emergency Medicine Specialists, LLC Emergency Medicine CurrentSince Feb 15, 2019 Accepting new patients
Midstate Medical Center Current Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Hospital CurrentSince Aug 1, 2020 Accepting new patients
Hartford Hospital CurrentSince Aug 1, 2020 Accepting new patients
Hartford Hospital Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
GCNT LLC Emergency Medicine PastSince Dec 27, 2016 Accepting new patients

Locations

22 Pine St
Ste 104
Bristol, CT 06010
Phone (860) 314-2002

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

61 Pomeroy Ave
Meriden, CT 06450
Phone (203) 694-5340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

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

Interoperability endpoints

  • Direct secure messaging: michael.tinkler@xdr.hhchealthdirect.org

Organizations & group practices 15

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.

View all 15

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1790868487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 GRANDVIEW AVE",
            "address_2": "STE 105",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082519",
            "telephone_number": "203-755-2214",
            "fax_number": "203-596-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 GRANDVIEW AVE",
            "address_2": "STE 105",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082519",
            "telephone_number": "203-755-2214",
            "fax_number": "203-596-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKLER",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "030371",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030371",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "CT",
            "license": "030371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.