Individual provider Active NPI

Heather K Hamilton, MD

  • Dermatology Physician
  • Shelton, CT
National Provider Identifier
1841429206
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
055128 Issued in CT
Practice address
4 Corporate Dr Ste 386
Shelton, CT 06484-6240
Phone
(203) 538-5682
Fax
(203) 538-5685
NPI assigned
Jul 7, 2009
Last updated
May 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 94-07195 KS
Dermatology Physician 207N00000X 055128 CT Primary

Addresses

Primary practice location

4 Corporate Dr Ste 386
Shelton, CT 06484-6240

Mailing address

57 N Middletown Rd
Nanuet, NY 10954-2312
Phone (845) 623-7077

Other practice location 1

57 N Middletown Rd
Nanuet, NY 10954-2312
Phone (845) 623-7077

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
I20161130002022 CT Practitioner - DermatologyPractitioner - Plastic and Reconstructive Surgery 1850525932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Skinhealth LLPGroup PAC ID 9638309362, 40 clinicians

Practice addresses (Care Compare)

4 Corporate Dr
Shelton, CT 06484-6211
Phone (203) 538-5682

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions577
Skin biopsy216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055128CTMDDermatology Physician
94-07195KSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Skinhealth LLP CurrentSince Aug 1, 2016 Accepting new patients

Locations

4 Corporate Dr
Ste 386
Shelton, CT 06484
Phone (203) 538-5682

Interoperability endpoints

  • Direct secure messaging: hhamilton@ctsh.emadirect.md
  • Direct secure messaging: hhamilton370821@direct.ynhh.org

Organizations & group practices 1

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1841429206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542312",
            "telephone_number": "845-623-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR STE 386",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846240",
            "telephone_number": "203-538-5682",
            "fax_number": "203-538-5685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 N Middletown Rd",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542312",
            "country_code": "US",
            "telephone_number": "845-623-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "HEATHER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "94-07195",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "055128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.