DR. LAMIA HAQUE M.D.
NPI 1609211622
Internal Medicine in New Haven, CT


Quality Rating: 94.73 out of 100 score

NPI Status: Active since May 03, 2013

Contact Information

20 YORK ST
NEW HAVEN, CT
ZIP 06510
Phone: (203) 688-4242

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  • Individual
  • Female
  • Years of Experience 12
  • Internal Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About LAMIA HAQUE

Lamia Haque is an internist established in New Haven, Connecticut and her medical specialization is Internal Medicine with more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1609211622 assigned on May 2013. The practitioner's primary taxonomy code is 207R00000X with license number 55416 (CT). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1609211622
Provider Name
DR. LAMIA HAQUE M.D.
Gender
Female
Entity Type
Individual
Location Address
20 YORK ST NEW HAVEN, CT 06510
Location Phone
(203) 688-4242
Mailing Address
333 CEDAR ST NEW HAVEN, CT 06510
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
05-03-2013
Last Update Date
03-31-2021
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An internist like Lamia Haque is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Lamia Haque is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.73, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $36.17 for a new patient copayment and $28.02 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
55416
License State
CT
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Location Map

Secondary Locations

  • 40 Temple St # 1A
    New Haven, CT 06510
    (203) 785-4138
  • 1 Long Wharf Dr APT Foundation
    New Haven, CT 06511
    (203) 781-4600

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RA0401XAllopathic & Osteopathic Physicians

Internal Medicine
Addiction Medicine

55416 (CT)
2207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

55416 (CT)
3207RT0003XAllopathic & Osteopathic Physicians

Internal Medicine
Transplant Hepatology

55416 (CT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
008066801OTHER (01)CTLAMIA MEDICAID

PECOS Enrollment and Medicare Participation Status

Lamia Haque is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 42531501

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160819000733

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06510 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.69
  • Minimum New Patient Price $63.47
  • Maximum New Patient Price $190.87
  • Average New Patient Copayment $36.17
  • Minimum New Patient Copayment $15.86
  • Maximum New Patient Copayment $47.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $112.09
  • Minimum Established Patient Price $20.08
  • Maximum Established Patient Price $156.18
  • Average Established Patient Copayment $28.02
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $39.04

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 94.73 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 93.81

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lamia Haque is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
YALE-NEW HAVEN HOSPITAL20 YORK ST
NEW HAVEN, CT 6504
(203) 688-4242Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609211622
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260941264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 1 + 2 + 6 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1609211622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265437024 MELIH ARICI MD
Individual
Radiology (Diagnostic Radiology)20 YORK ST YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
(203) 785-7998
1770571440 DAVID CHRISTOPHER CONE MD
Individual
Emergency Medicine20 YORK ST YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
(203) 688-2222
1487642153 KEVIN JOHN BURNS PA C
Individual
Physician Assistant20 YORK ST YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
(203) 688-2222
1992793186 MAURICE J MAHONEY MD
Individual
Medical Genetics (Clinical Genetics (M.D.))20 YORK ST YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
(203) 785-2660
1144218207 MARGRETTA R SEASHORE MD
Individual
Medical Genetics (Clinical Genetics (M.D.))20 YORK ST CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
(203) 785-2660
1689662686 PAUL HENRI DESAN MD
Individual
Psychiatry & Neurology (Psychiatry)20 YORK ST
NEW HAVEN, CT 06510
(203) 688-2619
1073501995 LIVA ANDREJEVA-WRIGHT MD
Individual
Radiology (Diagnostic Radiology)20 YORK ST YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
(203) 688-2433
1356330104 LAURA JEAN BONTEMPO MD
Individual
Emergency Medicine20 YORK ST YALE-NEW HAVEN CHILDREN'S HOSPITAL-SP 218
NEW HAVEN, CT 06510
(203) 688-2222
1285623082 KELLY ANNETTE MARTENS PA C
Individual
Physician Assistant20 YORK ST YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510
(203) 688-2222
1528057155 CARLO BRUNO BIFULCO MD
Individual
Pathology (Anatomic Pathology)20 YORK ST YALE-NEW HAVEN CHILDREN'S HOSPITAL-EP 2608
NEW HAVEN, CT 06510
(203) 785-3624
1336138098 KAREN JEAN JUBANYIK-BARBER MD
Individual
Emergency Medicine20 YORK ST YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
(203) 688-2222
1558350199 RISA HILLARY KENT MD
Individual
Radiology (Diagnostic Radiology)20 YORK ST YALE NEW HAVEN HOSPITAL SOUTH PAVILION 2ND FLOOR
NEW HAVEN, CT 06510
(203) 688-2433
1194714519 RICHARD TORRES MD
Individual
Pathology (Hematology)20 YORK ST YNHH, CLINIC BUILDING, ROOM 407
NEW HAVEN, CT 06510
(203) 785-2153
1326038860 HARRY C MOSCOVITZ MD
Individual
Emergency Medicine20 YORK ST YNHH SOUTH PAVILION - ROOM 218
NEW HAVEN, CT 06510
(203) 688-2222
1568452969 JOHN E ARUNY MD
Individual
Radiology (Vascular & Interventional Radiology)20 YORK ST YNHH SOUTH PAVILION - 2ND FLOOR
NEW HAVEN, CT 06510
(203) 688-2433
1699765990 ELIZABETH DOLORES BROWNE PAC
Individual
Physician Assistant20 YORK ST YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
(203) 688-2222
1134110158 MANJU L PRASAD M.D.
Individual
Pathology (Anatomic Pathology)20 YORK ST EP#2-608B
NEW HAVEN, CT 06510
(203) 737-4862
1801887203 MICHAEL EDWIN HODSDON MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)20 YORK ST YNHH CB 407
NEW HAVEN, CT 06510
(203) 785-2153
1992796387 MARK J SHLOMCHIK MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)20 YORK ST YNHH, CLINIC BUILDING, ROOM 407
NEW HAVEN, CT 06510
(203) 785-2153
1508857913 HENRY M RINDER MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)20 YORK ST YNHH - CLINIC BUILDING, ROOM 407
NEW HAVEN, CT 06510
(203) 785-2153

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609211622, enumerated in the NPI registry as an "individual" on May 03, 2013

The provider is located at 20 York St New Haven, Ct 06510 and the phone number is (203) 688-4242

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 12 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $144.69 with an average copayment of $36.17 for new patient appointments. Established patients should expect a typical charge of $112.09 and an average copayment of 28.02. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): YALE-NEW HAVEN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 03, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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