CRAIG BRUCE MITTLEMAN (MD) – Emergency Medicine Physician, NPI 1841274560
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
839 EMERGENCY MEDICINE in CT
Provider Addresses for CRAIG BRUCE MITTLEMAN (MD)
64 Robbins St
Waterbury, CT 067082613
Phone: (203) 573-6295
Fax: (203) 573-7613
Type: Location
25 Wells St
Westerly, RI 028912922
Phone: (401) 596-8990
Fax: (203) 688-9638
Type: Location
Lawrence+Memorial Hospital, 365, Montauk Avenue, New London, New London County, Connecticut, 06320, United States
NEW LONDON, CT 06320
Phone: (860) 442-0711
Fax: (203) 688-9638
Type: Location
20 YORK STREET, CB-329
NEW HAVEN, CT 065103220
Phone: (203) 688-1734
Fax: (203) 688-9638
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: 2020-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071231000355 | I | Emergency Medicine | CT | TBD |
| I20150507000182 | I | Emergency Medicine | MA | TBD |
| I20200318002303 | I | Emergency Medicine | RI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06708)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | CT | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 336 | 304 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | RI | |
| Emergency Medicine | NY | |
| Emergency Medicine | CT | |
| Emergency Medicine | CT | |
| Emergency Medicine | RI | |
| Physician Assistant | RI | |
| Emergency Medicine | CT | |
| Emergency Medicine | NY | |
| Emergency Medicine | CT | |
| Physician Assistant | CT |
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