Individual provider Active NPI

Larry Alan Suecof, DPM

  • Foot & Ankle Surgery Podiatrist
  • Farmington, CT
National Provider Identifier
1033104062
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000281 Issued in CT
Practice address
5 Exeter Park
Farmington, CT 06032-1555
Phone
(407) 417-7478
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000281 CT Primary
Foot & Ankle Surgery Podiatrist 213ES0103X POOOO2293 FL

Addresses

Primary practice location

5 Exeter Park
Farmington, CT 06032-1555

Mailing address

5 Exeter Park
Farmington, CT 06032-1555
Phone (407) 417-7478

Other identifiers 11

IdentifierTypeStateIssuer
0600211278OtherCTCONNECTICARE
0724234 001OtherCTCIGNA
480000668OtherMEDICARE
06-1406459OtherCTCOLONIAL COOPERATIVE CARE
1033104062OtherCTANTHEM BCBS
2534362OtherCTAETNA
P4041219OtherCTOXFORD
06-1406459OtherCTMULTIPLAN
06-1406459OtherCTUNITED HEALTHCARE
06-1406459OtherCTFOCUS
0R3020OtherCTHEALTH NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
University of Maryland School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Exeter Park
Farmington, CT 06032-1555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue565
Removal or shaving of skin growth15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
000281CTMDCardiovascular Disease Physician
POOOO2293FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Podiatry Partners, PLLC Podiatrist CurrentSince Apr 3, 2025 Accepting new patients
Yhn 1, LLC Podiatrist CurrentSince May 7, 2023 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Podiatrist Past Accepting new patients
Practitioner Support Services LLP Past Accepting new patients
Robert a Krauklis DPM LLC Podiatrist Past Accepting new patients
Pascarella, Hoover, Finkelstein & Wagner, DPM, PA Past Accepting new patients

Locations

850 N Main Street Ext
Bldg 2
Wallingford, CT 06492
Phone (203) 269-4249

850 N Main Street Ext
Ste 2A2
Wallingford, CT 06492
Phone (203) 314-9493

3651 Lake Center Dr
Mount Dora, FL 32757
Phone (352) 385-9156

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBJDD/Endpoint/AEBJDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBJDD

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1033104062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EXETER PARK",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321555",
            "telephone_number": "407-417-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXETER PARK",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321555",
            "telephone_number": "407-417-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUECOF",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000281",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "POOOO2293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "0600211278",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0724234 001",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "480000668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLONIAL COOPERATIVE CARE",
            "identifier": "06-1406459",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "1033104062",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2534362",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P4041219",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "06-1406459",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "06-1406459",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOCUS",
            "identifier": "06-1406459",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "0R3020",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.