Individual provider Active NPI

Vicki Kritsovas, MD

  • Pediatric Critical Care Medicine Physician
  • Norwalk, CT
National Provider Identifier
1821023433
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
043103 Issued in CT
Practice address
24 Stevens St
Norwalk, CT 06850-3852
Phone
(203) 852-2662
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 224679 NY
Pediatric Critical Care Medicine Physician 2080P0203X 043103 CT Primary

Addresses

Primary practice location

24 Stevens St
Norwalk, CT 06850-3852

Mailing address

117 W 124TH St FL 6
New York, NY 10027-4920
Phone (035) 719-6732

Other identifiers 1

IdentifierTypeStateIssuer
001431030MedicaidCT

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
I20060111000602 CT Practitioner - Pediatric Medicine 4082649959 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224679NYMDPediatrics Physician
043103CTMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Oct 11, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 24, 2021 Accepting new patients
The Children'S Aid Society CurrentSince Feb 27, 2022 Accepting new patients
The Children'S Aid Society CurrentSince Feb 27, 2022 Accepting new patients
Yale University Pediatrics CurrentSince Oct 11, 2018 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Nov 20, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 24, 2021 Accepting new patients
Montefiore Medical Center Pediatrics Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

400 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3174

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

1 Park St
North Haven, CT 06504
Phone (203) 785-4643

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

117 W 124th St
Fl 6
New York, NY 10027

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: vsmetak409713@direct.ynhh.org
  • Direct secure messaging: vicki.kritsovas@xdr.hhchealthdirect.org

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1821023433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 124TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274920",
            "telephone_number": "035-719-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STEVENS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503852",
            "telephone_number": "203-852-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITSOVAS",
        "first_name": "VICKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "224679",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CT",
            "license": "043103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001431030",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.