Edin Adilovic
Individual provider Active NPI Hospitalist Physician · Bridgeport, CT
NPI 1962993592 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1962993592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 1.069175 (CT)
- Practice address
- 2800 Main St
Bridgeport, CT 06606-4292 - Phone
- (203) 576-6000
- NPI assigned
- May 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.06 of 100
- Quality
- 87.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210828000165 | CT | Practitioner - Hospitalist | 1456756477 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.069175 | CT | MD | Hospitalist Physician |
Interoperability endpoints
- edin.adilovic@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 1.069175 | CT | Yes |
Addresses
Primary practice location
2800 Main St
Bridgeport, CT 06606-4292
Mailing address
347 Main St
Ridgefield Park, NJ 07660-1256
Phone (201) 696-6418
Other providers in Bridgeport, CT
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- Mayowa Abiola Adefuye
- Abena Ohenewah Adei
- Jite Tobore Adeniran
- Nishob Adhikari
- Isaac Adjei Opoku
- Kwame Adjei-Sefah
- Yaw Amoateng Adjepong
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All providers in Bridgeport, CT · Hospitalist Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.