DR. ROBERT A ISRAELY M.D.
NPI 1245454115
Specialist in Westport, CT

Active since April 12, 2007Opted out of Medicare · through Jul 30, 2027
26 IMPERIAL AVE, WESTPORT, CT 06880(203) 221-1001 Get Directions Write a Review

NPPES record last updated: October 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert A Israely M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT A ISRAELY M.D. (NPI 1245454115) is an individual specialist in Westport, Connecticut, licensed in Connecticut (18606) and active in the NPI registry since April 2007. He has opted out of Medicare through July 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245454115
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ROBERT A ISRAELYCredential: M.D.
Location Address26 IMPERIAL AVEWestport, CT 06880-4308
Mailing Address26 Imperial AveWestport, CT 06880-4308
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateOctober 13, 2007
NPI 1245454115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CT · 18606
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
26 IMPERIAL AVE, Westport, CT 06880

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Robert A Israely M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 30, 2015 through July 30, 2027.

Opt-Out Effective DateJuly 30, 2015
Opt-Out In Effect ThroughJuly 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
26 IMPERIAL AVE
WESTPORT, CT 06880
Social Worker (Clinical)
26 IMPERIAL AVE
WESTPORT, CT 06880
Psychologist (Clinical)
26 IMPERIAL AVE
WESTPORT, CT 06880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Israely's NPI number?

The NPI number for Robert Israely is 1245454115. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Robert Israely located?

Robert Israely practices at 26 Imperial Ave, Westport, CT 06880. The listed phone number is (203) 221-1001.

What is Robert Israely's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Israely enrolled in Medicare?

No. Robert Israely has opted out of Medicare through July 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Robert Israely was last updated on October 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.