Active NPI
Mouhamed Abdoulaye Ndiaye, MD
- Psychiatry Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 257947
- Practice address
- 56 Franklin St
Waterbury, CT 06706-1253 - Phone
- (908) 451-9433
- NPI assigned
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 49079 | CT | |
| Psychiatry Physician | 2084P0800X | 257947 | NY | Primary |
Addresses
Primary practice location
56 Franklin St
Waterbury, CT 06706-1253
Mailing address
100 Jefferson SQ Apt 6J
Waterbury, CT 06706-1136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49079 | Other | CT | CT MD LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121
Hospital & facility affiliations
- The Hospital of Central Connecticut
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 83.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49079 | CT | MD | Psychiatry Physician |
| 257947 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Harvest Healthcare LLC | Psychiatry | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Psychiatry | Current | Accepting new patients |
Locations
21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182
100 Grand St
Ste E119
New Britain, CT 06052
Phone (860) 224-5305
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
Interoperability endpoints
- mouhamed.ndiaye@xdr.hhchealthdirect.org
Organizations & group practices 3
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.
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Psychiatry
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1982917985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 JEFFERSON SQ APT 6J",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061253",
"telephone_number": "908-451-9433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDIAYE",
"first_name": "MOUHAMED",
"middle_name": "ABDOULAYE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "49079",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "257947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT MD LICENSE",
"identifier": "49079",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.