Individual provider Active NPI

Amalia Dorelien, MD

  • Family Medicine Physician
  • Greenwich, CT
National Provider Identifier
1952740268
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73298 Issued in CT
Practice address
75 Holly Hill LN Ste 201
Greenwich, CT 06830-2912
Phone
(203) 869-6960
Fax
(203) 869-5103
NPI assigned
Jun 19, 2013
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 73298 CT Primary

Addresses

Primary practice location

75 Holly Hill LN Ste 201
Greenwich, CT 06830-2912

Mailing address

75 Holly Hill LN Ste 201
Greenwich, CT 06830-2912
Phone (203) 869-6960

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
I20230308000690 CT Practitioner - Family Practice 4486934411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

75 Holly Hill LN
Suite 201
Greenwich, CT 06830-2912
Phone (203) 869-6960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73298CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Family Medicine CurrentSince Mar 20, 2023 Accepting new patients

Locations

75 Holly Hill Ln
Ste 201
Greenwich, CT 06830
Phone (201) 357-8888

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

Interoperability endpoints

  • Direct secure messaging: adorelien24878@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1952740268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN STE 201",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068302912",
            "telephone_number": "203-869-6960",
            "fax_number": "203-869-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN STE 201",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068302912",
            "telephone_number": "203-869-6960",
            "fax_number": "203-869-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORELIEN",
        "first_name": "AMALIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "73298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.