Active NPI
Adam Pearl, MD
- Otolaryngology Physician
- Trumbull, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 040444
- Practice address
- 15 Corporate Dr
Ste 2-8
Trumbull, CT 06611 - Phone
- (203) 452-7081
- Fax
- (203) 452-7089
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 040444 | CT | Primary |
Addresses
Primary practice location
15 Corporate Dr
Ste 2-8
Trumbull, CT 06611
Mailing address
15 Corporate Dr
Ste 2-8
Trumbull, CT 06611
Phone (203) 452-7081
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010040444CT01 | Other | BLUE CROSS | |
| 1291146003 | Other | CIGNA | |
| P2625945 | Other | OXFORD | |
| 2846297 | Other | AETNA | |
| 061491182 | Other | UHC | |
| 2V1530 | Other | HEALTHNET | |
| 404440 | Other | CONNECTICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Icahn School of Medicine at Mount Sinai, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabilitation Associates Inc
Practice addresses (Care Compare)
15 Corporate Dr
Suite 2 8
Trumbull, CT 06611-1351
Phone (203) 452-7081
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773
Hospital & facility affiliations
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.71 of 100
- Quality
- 97.42
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040444 | CT | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgery Center of Fairfield County LLC | Past | Accepting new patients |
Interoperability endpoints
- apearl7130@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.
-
- Otolaryngology Physician
- Trumbull, CT
- NPI 1699836197
-
- Ambulatory Surgical Clinic/Center
- Trumbull, CT
- NPI 1487610390
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912932385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CORPORATE DR",
"address_2": "STE 2-8",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-452-7081",
"fax_number": "203-452-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CORPORATE DR",
"address_2": "STE 2-8",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-452-7081",
"fax_number": "203-452-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARL",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CT",
"license": "040444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "010040444CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1291146003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2625945",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2846297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "061491182",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V1530",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "404440",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.