Active NPI
Kenneth A Litwin, M.D.
- Internal Medicine Physician
- Sandy Hook, CT
National Provider Identifier
1073570842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 037343
- Practice address
- 27 Glen Rd
4TH Floor
Sandy Hook, CT 06482 - Phone
- (203) 304-9502
- Fax
- (203) 304-9503
- NPI assigned
- Apr 27, 2006
- Last updated
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 037343 | CT | Primary |
Addresses
Primary practice location
27 Glen Rd
4TH Floor
Sandy Hook, CT 06482
Mailing address
27 Glen Rd
4TH Floor
Sandy Hook, CT 06482
Phone (203) 304-9502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001373430 | Medicaid | CT |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2018 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1073570842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GLEN RD",
"address_2": "4TH FLOOR",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "06482",
"telephone_number": "203-304-9502",
"fax_number": "203-304-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GLEN RD",
"address_2": "4TH FLOOR",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "06482",
"telephone_number": "203-304-9502",
"fax_number": "203-304-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITWIN",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "037343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001373430",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandy Hook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.