Individual provider Active NPI

Richard Barry Feldman, D.P.M.

  • Podiatrist
  • West Haven, CT
National Provider Identifier
1881693513
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000242 Issued in CT
Practice address
655 Saw Mill Rd
West Haven, CT 06516-3964
Phone
(203) 933-7477
Fax
(203) 931-1775
NPI assigned
Jul 15, 2005
Last updated
Oct 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000242 CT Primary

Addresses

Primary practice location

655 Saw Mill Rd
West Haven, CT 06516-3964

Mailing address

655 Saw Mill Rd
West Haven, CT 06516-3964
Phone (203) 933-7477

Other identifiers 1

IdentifierTypeStateIssuer
00404706400MedicaidCT

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000663 CT Practitioner - Podiatry 0446353049 Reassigns benefits to 3 organizations
Practice locations: West Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Illinois Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaylord Hospital, Inc.Group PAC ID 1153224191, 39 clinicians

Practice addresses (Care Compare)

50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 284-2800

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
63.07
Improvement activities
40
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000292CTMDMental Health Counselor
000242CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 12, 2012 Accepting new patients
Gaylord Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Apr 8, 2003 Accepting new patients
Soundental Assoc P.C. Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

Organizations & group practices 6

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1881693513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SAW MILL RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163964",
            "telephone_number": "203-933-7477",
            "fax_number": "203-931-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SAW MILL RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163964",
            "telephone_number": "203-933-7477",
            "fax_number": "203-931-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "RICHARD",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00404706400",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.