DR. DIMITRI LADDIS MD NPI 1760415384

NPI Information

NPI: 1760415384
Provider Name: DR. DIMITRI LADDIS, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
100 YORK ST
NEW HAVEN, CT
ZIP 06511
Phone: (203) 737-7440
Get Directions

DR. Dimitri Laddis, MD is a pediatric emergency medicine pediatrics in New Haven, CT. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Dimitri Laddis, MD NPI is 1760415384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 YORK ST
NEW HAVEN, CT
ZIP 06511-620
Phone: (203) 737-7440

The NPI 1760415384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		2288751	NEW YORK	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	228875	NEW YORK	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	56113	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02461127	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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