Active NPI
Deborah Anne Mogelof, M.D.
- Emergency Medicine Physician
- Westport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 046539
- Practice address
- 5 Breezy KNLS
Westport, CT 06880-1201 - Phone
- (203) 293-4803
- NPI assigned
- May 20, 2008
- Last updated
- Oct 8, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 046539 | CT | Primary |
Addresses
Primary practice location
5 Breezy KNLS
Westport, CT 06880-1201
Mailing address
5 Breezy KNLS
Westport, CT 06880-1201
Phone (203) 293-4803
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
- Emergency Medicine
- Education
- New York Medical College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 Post E Rd
Westport, CT 06880-5370
Phone (203) 557-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046539 | CT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westport Urgent Care LLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Fairfield County, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1045 Post Rd E
Westport, CT 06880
Phone (203) 259-2124
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Westport, CT
- NPI 1154672483
-
- Emergency Medicine Physician
- Stamford, CT
- NPI 1689614109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1821255589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BREEZY KNLS",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068801201",
"telephone_number": "203-293-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BREEZY KNLS",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068801201",
"telephone_number": "203-293-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGELOF",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "046539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.