Individual provider Active NPI

Lenore M Buckley, M.D.

  • Rheumatology Physician
  • New Haven, CT
National Provider Identifier
1932298098
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
050826 Issued in CT
Practice address
800 Howard St.
Ypb 3Rd Floor
New Haven, CT 06519-1612
Phone
(203) 737-5430
Fax
(203) 785-7053
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101049859 VA
Rheumatology Physician 207RR0500X 050826 CT Primary
Pediatric Rheumatology Physician 2080P0216X 050826 CT

Addresses

Primary practice location

800 Howard St.
Ypb 3Rd Floor
New Haven, CT 06519-1612

Mailing address

300 Cedar St
Tac S517
New Haven, CT 06519-1612
Phone (203) 737-5430

Other identifiers 1

IdentifierTypeStateIssuer
006003893 541581185MedicaidVA

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
I20120814000060 CT Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 2567536873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians

Practice addresses (Care Compare)

428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228

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
0101049859VAMDRheumatology Physician
050826CTMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 1, 2012 Accepting new patients
Yale University CurrentSince Jul 1, 2012 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Oct 1, 2014 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

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

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

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

122 Wilmot Rd
New Haven, CT 06515
Phone (203) 503-3741

800 Howard Ave
Fl 3
New Haven, CT 06519
Phone (203) 785-7411

Interoperability endpoints

  • Direct secure messaging: lbuckley44797@direct.ynhh.org

Organizations & group practices 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1932298098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CEDAR ST",
            "address_2": "TAC S517",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191612",
            "telephone_number": "203-737-5430",
            "fax_number": "203-785-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD ST.",
            "address_2": "YPB 3RD FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191612",
            "telephone_number": "203-737-5430",
            "fax_number": "203-785-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "LENORE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101049859",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "050826",
            "primary": true
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "CT",
            "license": "050826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006003893 541581185",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.