Individual provider Active NPI

Carrie A Redlich, MD

  • Occupational Medicine Physician
  • New Haven, CT
National Provider Identifier
1942282686
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
025863 Issued in CT
Practice address
135 College St
RM 366
New Haven, CT 06510-2483
Phone
(203) 785-2817
Fax
(203) 785-7391
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 025863 CT
Occupational Medicine Physician 2083X0100X 025863 CT Primary

Addresses

Primary practice location

135 College St
RM 366
New Haven, CT 06510-2483

Mailing address

135 College St
RM 366
New Haven, CT 06510-2483
Phone (203) 785-2817

Other identifiers 1

IdentifierTypeStateIssuer
001258632MedicaidCT

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
I20100324000733 CT Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Preventive Medicine 5193850584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Yale University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

135 College St
New Haven, CT 06510-2483
Phone (203) 785-7191

Hospital & facility affiliations

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
025863CTMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Apr 1, 1989 Accepting new patients
Yale University CurrentSince Apr 1, 1989 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

135 College St
New Haven, CT 06510
Phone (203) 688-6959

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

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

135 College St
Ste 366
New Haven, CT 06510
Phone (203) 785-2817

Interoperability endpoints

  • Direct secure messaging: credlich9121@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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1942282686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COLLEGE ST",
            "address_2": "RM 366",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102483",
            "telephone_number": "203-785-2817",
            "fax_number": "203-785-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLLEGE ST",
            "address_2": "RM 366",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102483",
            "telephone_number": "203-785-2817",
            "fax_number": "203-785-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLICH",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "025863",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "025863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001258632",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.