Eric Myer Bader, M.D.

Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Greenwich, CT

NPI 1831403534 · NPPES record last updated Mar 16, 2016

Key facts

NPI
1831403534
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Cardiac Electrophysiology Physician 207RC0001X
License
54102 (CT)
Practice address
15 Valley Dr
Suite 200
Greenwich, CT 06831-5205
Phone
(203) 863-4210
Fax
(203) 622-1872
NPI assigned
Aug 5, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 18

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Cardiac Electrophysiology
Also: Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale University (2,632 clinicians)

Practice addresses (Care Compare)

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital · New Haven, CT · CCN 070022
  • Bridgeport Hospital Hospital · Bridgeport, CT · CCN 070010
  • Greenwich Hospital Association - Hospital · Greenwich, CT · CCN 070018
  • Middlesex Hospital Hospital · Middletown, CT · CCN 070020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair52

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150701002505 CT Practitioner - Cardiac Electrophysiology
Practitioner - Cardiovascular Disease (Cardiology)
2264619568 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54102CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Internal Medicine Current
since Jul 1, 2015
Accepting new patients
Greenwich Hospital Current
since Jul 1, 2015
Accepting new patients
Cardiology Associates of Greater Waterbury LLC Cardiovascular Disease Current
since Jan 1, 2016
Accepting new patients
Yale University Current
since Jul 1, 2015
Accepting new patients
Mill Hill Medical Consultants Inc Cardiovascular Disease Current
since Jul 1, 2015
Accepting new patients
Northeast Medical Group, Inc. Internal Medicine Current
since Jul 1, 2015
Accepting new patients
Greenwich Hospital Current
since Jul 1, 2015
Accepting new patients
Prospect Waterbury, Inc. Current
since Sep 1, 2016
Accepting new patients

Locations

15 Valley Dr
Ste 200
Greenwich, CT 06831
Phone (203) 863-3008

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

300 George St
#6
New Haven, CT 06511
Phone (203) 737-6293

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

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

455 Chase Pkwy
Waterbury, CT 06708
Phone (203) 573-1435

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Interoperability endpoints

  • Direct secure messaging: ebader193832@direct.ynhh.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 54102 CT
Clinical Cardiac Electrophysiology Physician 207RC0001X 54102 CT Yes
Nuclear Cardiology Physician 207UN0901X 54102 CT
Internal Medicine Physician 207R00000X 54102 CT

Addresses

Primary practice location

15 Valley Dr
Suite 200
Greenwich, CT 06831-5205

Mailing address

15 Valley Dr
Suite 200
Greenwich, CT 06831-5205
Phone (203) 863-4210

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 16, 2016.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1831403534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR",
            "address_2": "SUITE 200",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315205",
            "telephone_number": "203-863-4210",
            "fax_number": "203-622-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR",
            "address_2": "SUITE 200",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315205",
            "telephone_number": "203-863-4210",
            "fax_number": "203-622-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "ERIC",
        "middle_name": "MYER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "54102",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CT",
            "license": "54102",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CT",
            "license": "54102",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "54102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.