Individual provider Active NPI

Thomas R Defanti, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • North Stonington, CT
National Provider Identifier
1043239783
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
049233 Issued in CT
Practice address
75 Swantown HL
North Stonington, CT 06359-1022
Phone
(860) 535-1010
Fax
(860) 445-3677
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 011764 ME
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 049233 CT Primary

Addresses

Primary practice location

75 Swantown HL
North Stonington, CT 06359-1022

Mailing address

75 Swantown HL
North Stonington, CT 06359-1022
Phone (860) 535-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210120002853 RI Practitioner - Addiction Medicine 2668416512
I20230504002531 CT Practitioner - Addiction MedicinePractitioner - Internal Medicine 2668416512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Internal Medicine
Education
Georgetown University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Addiction Medicine, LLC 6 clinicians

Practice addresses (Care Compare)

546 Cromwell Ave
Suite 101
Rocky Hill, CT 06067-1898
Phone (860) 757-3874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049233CTMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Recovery, Inc Addiction Medicine Current Accepting new patients
Mainehealth Past Accepting new patients
Anna Gut LLC PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1043239783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SWANTOWN HL",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591022",
            "telephone_number": "860-535-1010",
            "fax_number": "860-445-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SWANTOWN HL",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591022",
            "telephone_number": "860-535-1010",
            "fax_number": "860-445-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFANTI",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "ME",
            "license": "011764",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CT",
            "license": "049233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Stonington, CT

Sources for this page

Verify at the official NPI Registry.