Individual provider Active NPI

Amelia Breyre

  • Emergency Medicine Physician
  • New Haven, CT
National Provider Identifier
1831543784
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A151993 Issued in CA
Practice address
333 Cedar St
New Haven, CT 06510-3206
Phone
(516) 835-2748
NPI assigned
Apr 18, 2016
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A151993 CA Primary
Emergency Medicine Physician 207P00000X 70426 CT

Addresses

Primary practice location

333 Cedar St
New Haven, CT 06510-3206

Mailing address

119 Foster St
New Haven, CT 06511-2610
Phone (516) 835-2748

Other practice location 1

1411 E 31st St
Highland Hospital
Oakland, CA 94602-1018
Phone (516) 835-2748

Other identifiers 1

IdentifierTypeStateIssuer
000000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190801002094 CA Practitioner - Emergency Medicine 2961738695 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151993CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Feb 25, 2025 Accepting new patients
University of California SFGH Medical Group Emergency Medicine CurrentSince Feb 25, 2025 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Alameda Health System CurrentSince Jul 31, 2024 Accepting new patients
County of Santa Clara Emergency Medicine CurrentSince Apr 30, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
Alameda Health System CurrentSince Jul 31, 2024 Accepting new patients
County of Santa Clara CurrentSince Apr 30, 2021 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1831543784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 FOSTER ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112610",
            "telephone_number": "516-835-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "516-835-2748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 E 31st St",
            "address_2": "Highland Hospital",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946021018",
            "country_code": "US",
            "telephone_number": "516-835-2748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREYRE",
        "first_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-07-15",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A151993",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "70426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.