Active NPI
Nilda M Leon-Smith, MD
- Internal Medicine Physician
- New Haven, CT
National Provider Identifier
1992807937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 035885
- Practice address
- 374 Grand Ave
Fair Haven Community Health Ctr
New Haven, CT 06513 - Phone
- (203) 777-7411
- Fax
- (203) 777-8506
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 035885 | CT | Primary |
Addresses
Primary practice location
374 Grand Ave
Fair Haven Community Health Ctr
New Haven, CT 06513
Mailing address
93 Autumn Ridge
Trumball, CT 06611
Phone (203) 445-1077
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010035885CT01 | Other | ANTHEM BCBS | |
| 00A235763 | Medicaid | CT | |
| 035885 9734 | Other | CONNECTICARE | |
| P2742383 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Respiratory Associates PC | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992807937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 AUTUMN RIDGE",
"city": "TRUMBALL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-445-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 GRAND AVE",
"address_2": "FAIR HAVEN COMMUNITY HEALTH CTR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06513",
"telephone_number": "203-777-7411",
"fax_number": "203-777-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON-SMITH",
"first_name": "NILDA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "035885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010035885CT01",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A235763",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "035885 9734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2742383",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.