Active NPI
Kevin Becker, M.D.-PH.D
- Neurology Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 049407
- Practice address
- 263 Farmington Avenue
Farmington, CT 06030 - Phone
- (860) 679-4888
- Fax
- (860) 679-0131
- NPI assigned
- Apr 7, 2009
- Last updated
- Aug 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 049407 | CT | Primary |
Addresses
Primary practice location
263 Farmington Avenue
Farmington, CT 06030
Mailing address
263 Farmington Avenue
Farmington, CT 06030-8082
Phone (860) 679-4888
Other practice location 1
Yale-New Haven Hospital 20 York Street
T-209
New Haven, CT 06510
Phone (203) 688-2259
Other practice location 2
Yale-New Haven Hospital 20 York Street
T-209
New Haven, CT 06510
Phone (203) 688-2259
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Medical University of South Carolina College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current | Accepting new patients | |
| Yale University | Neurology | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| University of Connecticut Health Center | Neurology | Current | Accepting new patients |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
Interoperability endpoints
- kbecker34379@direct.med.uchc.edu
Organizations & group practices 5
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 University Physicians
- General Practice Physician
- Farmington, CT
- NPI 1720083769
Neurology
-
dba University Physicians
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1821231895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060308082",
"telephone_number": "860-679-4888",
"fax_number": "860-679-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "06030",
"telephone_number": "860-679-4888",
"fax_number": "860-679-0131"
}
],
"practiceLocations": [
{
"address_1": "Yale-New Haven Hospital 20 York Street",
"address_2": "T-209",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06510",
"country_code": "US",
"telephone_number": "203-688-2259",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Yale-New Haven Hospital 20 York Street",
"address_2": "T-209",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06510",
"country_code": "US",
"telephone_number": "203-688-2259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "KEVIN",
"credential": "M.D.-PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "049407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.