Individual provider Active NPI

Hindola Konrad, M.D.

  • Ophthalmology Physician
  • Newtown, CT
National Provider Identifier
1992766174
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
037958 Issued in CT
Practice address
164 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1475
Phone
(203) 297-6869
Fax
(203) 491-2223
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200770-1 NY
Ophthalmology Physician 207W00000X 037958 CT Primary

Addresses

Primary practice location

164 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1475

Mailing address

164 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1475
Phone (203) 297-6869

Other practice location 1

635 W 165th St
New York, NY 10032-3724
Phone (212) 305-9535

Other practice location 2

240 W 98th St Apt 1C
New York, NY 10025-5501
Phone (212) 758-0388

Other identifiers 2

IdentifierTypeStateIssuer
001379587MedicaidCT
P2577527OtherCTOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031104000596 NY Practitioner - Ophthalmology 1557273828 Reassigns benefits to 3 organizations
I20031119000626 CT Practitioner - Ophthalmology 1557273828 Practice locations: Danbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 W 98TH St
Apt 1C
New York, NY 10025-5501
Phone (212) 758-0388

57 N St
Suite 415
Danbury, CT 06810-5629
Phone (203) 794-0117

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037958CTMDOphthalmology Physician
200770-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hindola Konrad MD PC Ophthalmology CurrentSince Jul 16, 2001 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Feb 1, 2017 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Feb 1, 2017 Accepting new patients
Hindola Konrad MD, PC Ophthalmology CurrentSince Jan 1, 1990 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology Current Accepting new patients

Locations

57 North St
Ste 415
Danbury, CT 06810
Phone (203) 794-0117

164 Mount Pleasant Rd
Ste 201
Newtown, CT 06470
Phone (203) 297-6869

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

635 W 165th St
#92
New York, NY 10032
Phone (212) 305-3015

635 W 165th St
Ste 308
New York, NY 10032

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

635 W 165th St
New York, NY 10032
Phone (212) 305-3039

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: konradh@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1992766174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701475",
            "telephone_number": "203-297-6869",
            "fax_number": "203-491-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701475",
            "telephone_number": "203-297-6869",
            "fax_number": "203-491-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 W 165th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323724",
            "country_code": "US",
            "telephone_number": "212-305-9535",
            "fax_number": "212-305-5523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 W 98th St Apt 1C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100255501",
            "country_code": "US",
            "telephone_number": "212-758-0388",
            "fax_number": "646-864-0710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONRAD",
        "first_name": "HINDOLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "200770-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "037958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001379587",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2577527",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.