Individual provider Active NPI

Leah Ellen Gregorio, M.D.

  • Pediatrics Physician
  • East Hampton, CT
National Provider Identifier
1023465283
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
63738 Issued in CT
Practice address
42 E High St
East Hampton, CT 06424-1099
Phone
(860) 358-6486
NPI assigned
May 18, 2016
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 63738 CT Primary

Addresses

Primary practice location

42 E High St
East Hampton, CT 06424-1099

Mailing address

90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-6486

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eCW Direct

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
I20190726001627 CT Practitioner - Pediatric Medicine 6901190792 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63738CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Jul 22, 2019 Accepting new patients
Middlesex Hospital Dba Family Practice Group Portland Pediatrics CurrentSince Jul 22, 2019 Accepting new patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Pediatrics CurrentSince Sep 1, 2019 Accepting new patients
Middlesex Hospital Dba Family Practice Group East Hampton Pediatrics PastSince Sep 1, 2019 Accepting new patients

Locations

42 E High St
East Hampton, CT 06424
Phone (860) 344-6756

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

13 High St
Portland, CT 06480
Phone (860) 358-6418

Interoperability endpoints

  • Direct secure messaging: lgregorio14551@middlesexhealthprd.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1023465283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573649",
            "telephone_number": "860-358-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E HIGH ST",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064241099",
            "telephone_number": "860-358-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORIO",
        "first_name": "LEAH",
        "middle_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "63738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eCW",
            "affiliation": "N",
            "endpointDescription": "Main Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13 High St",
            "city": "Portland",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064801616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Hampton, CT

Sources for this page

Verify at the official NPI Registry.