Jeffrey Carruth, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

041160 Issued in CT

Practice address

2080 Bridgeport Ave Ste C
Milford, CT 06460

Phone

(203) 876-8854

Fax

(203) 876-2626

NPI assigned

Feb 27, 2007

Last updated

Aug 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Interventional Pain Management, P.C.

  • Interventional Pain Medicine Physician
  • Milford, CT
  • NPI 1093916546
  Medicare reassignment NPD Authorized official
• Milford Anesthesia Associates LLC

  • Anesthesiology Physician
  • Milford, CT
  • NPI 1932152097
  NPD (past)
• Pain Management Associates of Connecticut, P.C.

  • Interventional Pain Medicine Physician
  • Ridgefield, CT
  • NPI 1467986638
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1861529018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064840264",
            "telephone_number": "203-876-8854",
            "fax_number": "203-876-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 BRIDGEPORT AVE STE C",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-876-8854",
            "fax_number": "203-876-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTH",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CT",
            "license": "041160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmouste Carpel
• Carpino Counseling Services LLC
• Kelly Carpino Lavoie, LPC
• Courtney Carrano, BCBA
• Cynthia Carrano, LCSW
• Annmarie Carson, LMFT
• Nicholas Casagrande, DPT
• Danielle Casapulla, LMSW
• Deborah A Caserta-Brunson, MD
• Renee C Casey, M.D.

• Pain Medicine (Anesthesiology) Physician in Milford, CT
• Providers in Milford, CT by specialty
• Pain Medicine (Anesthesiology) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.