Individual provider Active NPI

Thomas Donohue, MD

  • Cardiovascular Disease Physician
  • New Haven, CT
National Provider Identifier
1932116324
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
038118 Issued in CT
Practice address
1450 Chapel St.
Saint Raphael Faculty Physicians
New Haven, CT 06511-4405
Phone
(203) 789-3363
Fax
(203) 789-4081
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 038118 CT Primary

Addresses

Primary practice location

1450 Chapel St.
Saint Raphael Faculty Physicians
New Haven, CT 06511-4405

Mailing address

1450 Chapel St.
New Haven, CT 06511-4405
Phone (203) 789-3363

Other identifiers 1

IdentifierTypeStateIssuer
1932116324MedicaidCT

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
I20040304000242 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7315834801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038118CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jan 1, 2014 Accepting new patients
Yale University CurrentSince Jan 1, 2014 Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Cardiovascular Disease Past Accepting new patients
Northeast Medical Group, Inc. Cardiovascular Disease Past Accepting new patients
Saint Raphael Faculty Physicians Cardiovascular Disease Past Accepting new patients

Locations

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

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

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

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

659 George St
New Haven, CT 06511
Phone (203) 789-3260

Interoperability endpoints

  • Direct secure messaging: tdonohue69239@direct.ynhh.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1932116324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-3363",
            "fax_number": "203-789-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST.",
            "address_2": "SAINT RAPHAEL FACULTY PHYSICIANS",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-3363",
            "fax_number": "203-789-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "038118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932116324",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.