Individual provider Active NPI

Timothy M. Manoni, M.D.

  • Vascular Surgery Physician
  • Darien, CT
National Provider Identifier
1821008715
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
041864 Issued in CT
Practice address
85 Old Kings Hwy N
Darien, CT 06820-4732
Phone
(203) 210-6333
Fax
(203) 502-2615
NPI assigned
Aug 9, 2006
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 041864 CT Primary

Addresses

Primary practice location

85 Old Kings Hwy N
Darien, CT 06820-4732

Mailing address

6 Research Dr Ste 102
Shelton, CT 06484-6228
Phone (203) 210-6340

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
I20040204000206 CT Practitioner - Vascular Surgery 4183517154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Connecticut Vascular Center LLCGroup PAC ID 8527951532, 32 clinicians

Practice addresses (Care Compare)

85 Old Kings Hwy N
The Vascular Experts
Darien, CT 06820-4732
Phone (203) 956-6819

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.63 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal70
Leg revascularization (restoring blood flow)41
Removal of tissue59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Connecticut Vascular Center, LLC Vascular Surgery CurrentSince Oct 1, 2003 Accepting new patients

Locations

7 Germantown Rd
Ste 2B
Danbury, CT 06810
Phone (203) 210-6340

85 Old Kings Hwy N
Darien, CT 06820
Phone (203) 202-7654

75 Kings Highway Cutoff
Fairfield, CT 06824
Phone (203) 333-1133

75 Holly Hill Ln
Ste 201
Greenwich, CT 06830
Phone (201) 357-8888

79 Wawecus St
Ste 104
Norwich, CT 06360
Phone (860) 237-5458

215 Stillwater Ave
Ste A
Stamford, CT 06902
Phone (203) 210-6340

495 Hawley Ln
Ste 2A
Stratford, CT 06614
Phone (203) 210-6333

Interoperability endpoints

  • Direct secure messaging: timothy.manoni.1@32135.direct.athenahealth.com
  • Direct secure messaging: tmanoni@direct.wtbyhosp.org
  • Direct secure messaging: tmanoni@vascularexperts.directbygreenway.com
  • Direct secure messaging: tmanoni25487@direct.ynhh.org

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.

Hospital & facility affiliations 6

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1821008715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RESEARCH DR STE 102",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846228",
            "telephone_number": "203-210-6340",
            "fax_number": "203-502-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD KINGS HWY N",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204732",
            "telephone_number": "203-210-6333",
            "fax_number": "203-502-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANONI",
        "first_name": "TIMOTHY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "041864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

Verify at the official NPI Registry.