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
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiac Electrophysiology
- 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
Practice addresses (Care Compare)
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Yale-New Haven Hospital
- Bridgeport Hospital
- Greenwich Hospital Association -
- Middlesex Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 52 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701002505 | CT | Practitioner - Cardiac Electrophysiology |
2264619568 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54102 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Internal Medicine | Current |
Accepting new patients |
| Greenwich Hospital | Current |
Accepting new patients | |
| Cardiology Associates of Greater Waterbury LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Yale University | Current |
Accepting new patients | |
| Mill Hill Medical Consultants Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Northeast Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Greenwich Hospital | Current |
Accepting new patients | |
| Prospect Waterbury, Inc. | Current |
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
- ebader193832@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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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All providers in Greenwich, CT · Clinical Cardiac Electrophysiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.