Individual provider Active NPI

Kirstin Marion Pilchard, MD

  • Surgery Physician
  • New Milford, CT
National Provider Identifier
1831174986
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
040837 Issued in CT
Practice address
21 Elm St
New Milford, CT 06776-2915
Phone
(860) 210-5002
Fax
(860) 210-5003
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 040837 CT Primary

Addresses

Primary practice location

21 Elm St
New Milford, CT 06776-2915

Mailing address

PO Box 786
Sharon, CT 06069-0786
Phone (860) 364-0226

Other identifiers 1

IdentifierTypeStateIssuer
001408378MedicaidCT

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
I20041213000419 CT Practitioner - General Surgery 2769449651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Connecticut School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

22 Old Waterbury Rd
Southbury, CT 06488-3848
Phone (203) 262-4200

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)16
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040837CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Surgery CurrentSince Jun 1, 2011 Accepting new patients
Regional Healthcare Associates LLC Surgery Past Accepting new patients
Evan P Provisor MD PC Surgery Past Accepting new patients

Locations

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

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

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

21 Elm St
New Milford, CT 06776
Phone (860) 210-5000

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

22 Old Waterbury Rd
Southbury, CT 06488
Phone (203) 262-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1053/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 2

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1831174986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060690786",
            "telephone_number": "860-364-0226",
            "fax_number": "860-364-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ELM ST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762915",
            "telephone_number": "860-210-5002",
            "fax_number": "860-210-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILCHARD",
        "first_name": "KIRSTIN",
        "middle_name": "MARION",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "040837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001408378",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.