Individual provider Active NPI

George Mehriz Barchini

  • Internal Medicine Physician
  • Thomaston, CT
National Provider Identifier
1023094133
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
033176 Issued in CT
Practice address
205 S Main St
Thomaston, CT 06787-1740
Phone
(860) 283-6255
Fax
(860) 283-6202
NPI assigned
Dec 20, 2005
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 033176 CT Primary

Addresses

Primary practice location

205 S Main St
Thomaston, CT 06787-1740

Mailing address

205 S Main St
Thomaston, CT 06787-1740
Phone (860) 283-6255

Other identifiers 1

IdentifierTypeStateIssuer
001331760MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000687 CT Practitioner - Internal Medicine 1557372240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

130 S Main St
Thomaston, CT 06787-1741
Phone (860) 283-0286

18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033176CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Here for You Chiropractic and Wellness Center LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

Interoperability endpoints

  • Direct secure messaging: georgebarchini@amggw.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1023094133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871740",
            "telephone_number": "860-283-6255",
            "fax_number": "860-283-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871740",
            "telephone_number": "860-283-6255",
            "fax_number": "860-283-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCHINI",
        "first_name": "GEORGE",
        "middle_name": "MEHRIZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "033176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001331760",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, CT

Sources for this page

Verify at the official NPI Registry.