NPIMap

Individual provider Active NPI

Carmine Raymond Crispino, M.D.

  • Internal Medicine Physician
  • New London, CT
National Provider Identifier
1861467367
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042164 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-7011
Fax
(860) 444-5114
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042164 CT Primary
Hospitalist Physician 208M00000X 042164 CT

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-7011

Other identifiers 3

IdentifierTypeStateIssuer
010042164CT03OtherCTBLUE CROSS
P3227288OtherOXFORD
001421643MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001271 CT Practitioner - Internal Medicine 7911996426 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David D Thompson Jr and Robert a Linden PTRGroup PAC ID 8022101153, 5 clinicians
Lawrence and Memorial Hospital Inc.Group PAC ID 5991792053, 50 clinicians
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

22 W Main St
Niantic, CT 06357-2340

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Hospital & facility affiliations

  • Yale New Haven Health - Health at Home Southeast Home health agency, Waterford, CT, CCN 077015
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • New London Sub-Acute and Nursing Nursing home, Waterford, CT, CCN 075158
  • Avalon Health Care Center at Stoneridge Nursing home, Mystic, CT, CCN 075437

Merit-based Incentive Payment System (MIPS)

Final score
56.88 of 100Reported as group
Quality
15
Promoting interoperability
38
Improvement activities
40
Cost
80.39

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042164CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Post Acute Medical Services 1 PC Hospitalist CurrentSince Sep 1, 2017 Accepting new patients
David D Thompson Jr & Robert a Linden PTR Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC Hospitalist CurrentSince Mar 13, 2025 Accepting new patients
Lawrence and Memorial Hospital, Inc. Internal Medicine CurrentSince Jul 1, 2004 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Nov 18, 2009 Accepting new patients
Ma Pacs 2 PC Hospitalist CurrentSince Mar 1, 2021 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Jul 1, 2004 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine Current Accepting new patients
Hospital Internists of New London, LLC Hospitalist Past Accepting new patients
Conncare Inc Internal Medicine Past Accepting new patients
Sound Medical Associates, PC Internal Medicine Past Accepting new patients

Locations

111 Church St
Middletown, CT 06457
Phone (860) 347-3786

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
Rm 4
New London, CT 06320

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

22 W Main St
Niantic, CT 06357
Phone (860) 739-4431

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

161 Post Rd
Westerly, RI 02891
Phone (401) 322-8081

Interoperability endpoints

  • Direct secure messaging: carmine.crispino@1055544999084036.direct.elationemr.com
  • Direct secure messaging: ccrispino329897@direct.ynhh.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1861467367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-7011",
            "fax_number": "860-444-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-7011",
            "fax_number": "860-444-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPINO",
        "first_name": "CARMINE",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042164",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "042164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010042164CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3227288",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001421643",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.