Individual provider Active NPI

Nicholas Stroumbakis, M.D.

  • Urology Physician
  • Greenwich, CT
National Provider Identifier
1871597641
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
035077 Issued in CT
Practice address
49 Lake Ave
# 21
Greenwich, CT 06830-4501
Phone
(203) 869-1285
Fax
(203) 869-1959
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 035077 CT Primary

Addresses

Primary practice location

49 Lake Ave
# 21
Greenwich, CT 06830-4501

Mailing address

49 Lake Ave
# 21
Greenwich, CT 06830-4501
Phone (203) 869-1285

Other identifiers 7

IdentifierTypeStateIssuer
1350777MedicaidCT
2036918OtherAETNA
P437136OtherOXFORD
010035077CT01OtherBC/BS
020231OtherHEALTHNET
340011882OtherRAILROAD MEDICARE
035077OtherCONNETICARE

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
I20040417000160 CT Practitioner - Urology 7719972934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Icahn School of Medicine at Mount Sinai, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035077CTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Sep 1, 2019 Accepting new patients
Yale University CurrentSince Sep 1, 2019 Accepting new patients

Locations

49 Lake Ave
Ste 201
Greenwich, CT 06830
Phone (203) 869-1285

49 Lake Ave
#21
Greenwich, CT 06830
Phone (203) 869-1285

49 Lake Ave
Greenwich, CT 06830
Phone (203) 661-9383

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Interoperability endpoints

  • Direct secure messaging: nstroumbakis7644@direct.ynhh.org

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1871597641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "address_2": "# 21",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-869-1285",
            "fax_number": "203-869-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "address_2": "# 21",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-869-1285",
            "fax_number": "203-869-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUMBAKIS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "035077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350777",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2036918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P437136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "010035077CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "020231",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340011882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNETICARE",
            "identifier": "035077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.