Michael J Payette, M.D., M.B.A.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

050974 Issued in CT

Practice address

1 Willowbrook Rd Ste 2
Cromwell, CT 06416-1745

Phone

(860) 322-2222

Fax

(860) 322-6838

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Connecticut School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Connecticut Dermatology PLLCGroup PAC ID 8527301365, 20 clinicians

Integrated Dermatology of Enfield, LLCGroup PAC ID 6305061912, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Connecticut Dermatology, PLLC

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1407313984
  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of Enfield, LLC

  • Dermatology Physician
  • Simsbury, CT
  • NPI 1134544661
  Medicare reassignment Care Compare group NPD
• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1952575573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Knotter Drive",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "telephone_number": "860-400-2000",
            "fax_number": "860-400-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 South Rd",
            "address_2": "2nd Floor - Department of Dermatology",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322482",
            "country_code": "US",
            "telephone_number": "860-679-4600",
            "fax_number": "860-679-1248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Buckland Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060743725",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYETTE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "050974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Parker
• Jigisha Patel, RPH
• Reshma S Patel, OD
• Maria Cristina Patron
• Stacy Elaine Paul-Kardos
• Eboni A Payne
• Peace of Mind Counseling LLC
• Lindsey Pease
• Cynthia Stone Pelletier
• Lauren Ashley Pelster, OTR

• Dermatology Physician in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.

Verify at the official NPI Registry.