Individual provider Active NPI

Mark Taafel, PA

  • Medical Physician Assistant
  • Derby, CT
National Provider Identifier
1912923889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000225 Issued in CT
Practice address
130 Division St
Derby, CT 06418-1326
Phone
(203) 732-7403
Fax
(203) 732-7177
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 000225 CT Primary

Addresses

Primary practice location

130 Division St
Derby, CT 06418-1326

Mailing address

130 Division St
Derby, CT 06418-1326
Phone (203) 732-7403

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929001657 CT Practitioner - Physician Assistant 3072639798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Connecticut PCGroup PAC ID 5193966893, 39 clinicians

Practice addresses (Care Compare)

100 Mill Plain Rd
Danbury, CT 06811-5178
Phone (203) 826-2140

1030 Boulevard
West Hartford, CT 06119-1801
Phone (860) 986-6440

1171 E Main St
Torrington, CT 06790-3963
Phone (860) 866-4321

135 E Main St
New Britain, CT 06051-1914
Phone (860) 357-6899

179 Talcottville Rd
Vernon, CT 06066-4615
Phone (860) 986-7600

2 Main St
Danbury, CT 06810-8047
Phone (203) 826-2140

365 Queen St
Southington, CT 06489-1884
Phone (860) 863-5835

396 Cromwell Ave
Rocky Hill, CT 06067-1828
Phone (860) 372-4990

607 Main Ave
Suite 13
Norwalk, CT 06851-1058
Phone (203) 845-9100

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
62.23
Improvement activities
40
Cost
81.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000225CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince Jun 1, 2021 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jun 1, 2021 Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912923889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-7403",
            "fax_number": "203-732-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-7403",
            "fax_number": "203-732-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAAFEL",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.