Organization Active NPI

A Walk-in Medical Center

  • Urgent Care Clinic/Center
  • Newington, CT
National Provider Identifier
1043346539
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
036038 Issued in CT
Legal business name
A WALK-IN MEDICAL CENTER
Practice address
66 Cedar St
Ste 100
Newington, CT 06111-2646
Phone
(860) 436-3226
Fax
(860) 436-3229
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Dr. Stuart C Calle, MDNPI 1740399302
Title
Owner/Doctor
Phone
(860) 436-3226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 036038 CT Primary

Addresses

Primary practice location

66 Cedar St
Ste 100
Newington, CT 06111-2646

Mailing address

66 Cedar St
Ste 100
Newington, CT 06111-2646
Phone (860) 436-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080711000325 CT Part B Supplier - Clinic/Group Practice 1153493879 Receives reassigned benefits from 1 practitioner
Practice locations: Newington, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D1070334A Walk-in Medical Center, LLC66 Cedar St, Ste 100, Newington, CT 06111Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
A Walk-in Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

66 Cedar St
Newington, CT 06111
Phone (860) 665-0200

66 Cedar St
Ste 100
Newington, CT 06111
Phone (860) 436-3226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1043346539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST",
            "address_2": "STE 100",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112646",
            "telephone_number": "860-436-3226",
            "fax_number": "860-436-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST",
            "address_2": "STE 100",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112646",
            "telephone_number": "860-436-3226",
            "fax_number": "860-436-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WALK-IN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "CALLE",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "860-436-3226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CT",
            "license": "036038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.