Individual provider Active NPI

Frank R. Dellacono, M.D.

  • Otolaryngology Physician
  • Waterford, CT
National Provider Identifier
1073690848
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
034694 Issued in CT
Practice address
201 Boston Post Rd
Waterford, CT 06385-2805
Phone
(860) 536-3078
Fax
(860) 536-4915
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 034694 CT Primary

Addresses

Primary practice location

201 Boston Post Rd
Waterford, CT 06385-2805

Mailing address

214 Farmholme Rd
Stonington, CT 06378-2209
Phone (860) 535-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000754 CT Practitioner - Otolaryngology 9830213040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Boston Post Rd
Waterford, CT 06385-2805
Phone 8604420407226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as group
Quality
98.76
Improvement activities
40
Cost
81.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ear,Nose and Throat Associates of Southeastern Connecticut, P.C. Otolaryngology CurrentSince Jul 1, 1998 Accepting new patients

Locations

14 Masons Island Rd
Unit 2B
Mystic, CT 06355
Phone (860) 536-3078

201 Boston Post Rd
Waterford, CT 06385
Phone (860) 442-0407

Interoperability endpoints

  • Direct secure messaging: fdellacono235825@xdr.hhchealthdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073690848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 FARMHOLME RD",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782209",
            "telephone_number": "860-535-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852805",
            "telephone_number": "860-536-3078",
            "fax_number": "860-536-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLACONO",
        "first_name": "FRANK",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "034694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.