NEIL W TISHKOFF (MD) – Neuroradiology Physician, NPI 1780676023

NEIL W TISHKOFF (MD) is a healthcare provider. based in Hamden, Connecticut. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 37744 (CT). The NPI Number for NEIL W TISHKOFF (MD) is 1780676023

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
NEIL W TISHKOFF (MD)
NPI
1780676023
Phone
(203) 777-6209
Address
2558 WHITNEY AVE
Enumeration Date
22 August 2005
Last Update Date
25 May 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
2036884242
Graduation Year
1992 (34 years ago)
PAC ID
2668579285
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20070516000235
Address ID
CT065103220NE20XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

804 DIAGNOSTIC RADIOLOGY in CT

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Provider Addresses for NEIL W TISHKOFF (MD)

  • Whitney Avenue, Hamden, New Haven County, Connecticut, 06518, United States

    STE 103

    HAMDEN, CT 065183045

    Phone: (203) 777-6209

    Fax: (203) 787-2431

    Type: Mailing

  • Yale New Haven Hospital Saint Raphael Campus, 1450, Chapel Street, Dwight Street Historic District, New Haven, New Haven County, Connecticut, 06511, United States

    NEW HAVEN, CT 065114405

    Phone: (203) 789-3124

    Fax: (203) 789-4118

    Type: Location

  • 333 CEDAR ST STE TE2

    NEW HAVEN, CT 065103206

    Phone: (203) 785-3067

    Fax: (203) 200-5170

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070516000235IDiagnostic RadiologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70553Mri scan of brain before and after contrast180177$0
70450Ct scan head or brain without contrast138131$0
70551Mri scan of brain without contrast9191$0
70496Ct scan of blood vessels of head with contrast8686$0
70498Ct scan of blood vessels of neck with contrast8585$0
View full utilization report →

Insurance plans in this area (ZIP 06518)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

Does NEIL W TISHKOFF (MD) have a public NPI I can cite?
Public records show NEIL W TISHKOFF (MD) under NPI 1780676023.
Does the public listing show NEIL W TISHKOFF (MD) as active?
NEIL W TISHKOFF (MD)'s NPI record reflects an active status in NPPES.
What services align with NEIL W TISHKOFF (MD)'s listing?
NEIL W TISHKOFF (MD)'s public classification highlights Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to NEIL W TISHKOFF (MD)?
The directory associates NEIL W TISHKOFF (MD) with Hamden, Connecticut. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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