Active NPI
Larry Alan Suecof, DPM
- Foot & Ankle Surgery Podiatrist
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0600211278 | Other | CT | CONNECTICARE |
| 0724234 001 | Other | CT | CIGNA |
| 480000668 | Other | MEDICARE | |
| 06-1406459 | Other | CT | COLONIAL COOPERATIVE CARE |
| 1033104062 | Other | CT | ANTHEM BCBS |
| 2534362 | Other | CT | AETNA |
| P4041219 | Other | CT | OXFORD |
| 06-1406459 | Other | CT | MULTIPLAN |
| 06-1406459 | Other | CT | UNITED HEALTHCARE |
| 06-1406459 | Other | CT | FOCUS |
| 0R3020 | Other | CT | HEALTH 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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 565 |
| Removal or shaving of skin growth | 15 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000281 | CT | MD | Cardiovascular Disease Physician |
| POOOO2293 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Podiatry Partners, PLLC | Podiatrist | Current | Accepting new patients |
| Yhn 1, LLC | Podiatrist | Current | 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
- https://fhir4.healow.com/fhir/r4/AEBJDD/Endpoint/AEBJDD
- 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.
-
dba Partners in Long Term Care
- Podiatrist
- Wallingford, CT
- NPI 1427686815
-
dba Mount Dora Podiatry & Wound Care Specialists
- Podiatrist
- Mount Dora, FL
- NPI 1174212625
-
- Nurse Practitioner
- Monroe, CT
- NPI 1114115706
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
- Foot Surgery Podiatrist
- Tavares, FL
- NPI 1245554021
-
- Podiatrist
- Orlando, FL
- NPI 1821256124
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.