Active NPI
Mark J Drabinski, M.D.
- Internal Medicine Physician
- West Haven, CT
National Provider Identifier
1811992902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 028413
- Practice address
- 687 Campbell Ave
West Haven, CT 06516-3774 - Phone
- (203) 932-6481
- Fax
- (203) 889-4953
- NPI assigned
- Jun 16, 2005
- Last updated
- Jul 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 028413 | CT | Primary |
Addresses
Primary practice location
687 Campbell Ave
West Haven, CT 06516-3774
Mailing address
687 Campbell Ave
West Haven, CT 06516-3774
Phone (203) 932-6481
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2671933 | Other | CT | AETNA |
| 010028413CT01 | Other | CT | ANTHEM BLUE SHIELD |
| 0V8922 | Other | CT | HEALTHNET |
| P410292 | Other | CT | OXFORD |
| 001284132 | Medicaid | CT | |
| 028413 | Other | CT | CONNECTICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
322 E Main St
Suite 1B
Branford, CT 06405-3136
6400 Shafer CT
Suite 700
Rosemont, IL 60018-4989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028413 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seasons Hospice & Palliative Care of Connecticut, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba AccentCare Hospice & Palliative Care of Connecticut
- Community Based Hospice Care Agency
- Middlebury, CT
- NPI 1669726477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1811992902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163774",
"telephone_number": "203-932-6481",
"fax_number": "203-889-4953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163774",
"telephone_number": "203-932-6481",
"fax_number": "203-889-4953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRABINSKI",
"first_name": "MARK",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "028413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2671933",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "010028413CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0V8922",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P410292",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001284132",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "028413",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.