Individual provider Active NPI

Francis Mirecki, M.D.

  • Cardiovascular Disease Physician
  • Norwich, CT
National Provider Identifier
1083667265
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
33689 Issued in CT
Practice address
164 Otrobando Ave
Suite 102
Norwich, CT 06360-2116
Phone
(860) 886-0023
Fax
(860) 886-0024
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 33689 CT Primary

Addresses

Primary practice location

164 Otrobando Ave
Suite 102
Norwich, CT 06360-2116

Mailing address

164 Otrobando Ave
Suite 102
Norwich, CT 06360-2116
Phone (860) 886-0023

Other identifiers 12

IdentifierTypeStateIssuer
010033689CT05OtherANTHEM/ECCD:06-1616101
033689OtherCONNECTICARE
001336892OtherBLUECARE FAMILY PLAN
110088356OtherRR MED/ECCG: 06-1049086
030514OtherHEALTHNET/ECCG:06-1049086
0V9737OtherHEALTHNET/ECCD:06-1616101
NLS105OtherOXFORD/ECCG: 06-1049086
001336892MedicaidCT
010033689CT01OtherANTHEM/ECCG:06-1049086
060064827OtherRR MED/ECCD: 06-1616101
500HBC444CT01OtherANTHEM/HOSP-BASED ECCD
P2524312OtherOXFORD/ECCD: 06-1616101

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
I20100304000251 CT Practitioner - Cardiovascular Disease (Cardiology) 3476441858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

8 Vista Dr
Old Lyme, CT 06371-1587
Phone (860) 434-4978

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33689CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Jan 1, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Jun 1, 2019 Accepting new patients
Eastern Conn. Cardiology Group Cardiovascular Disease PastSince Jan 1, 2006 Accepting new patients
Ocean Radiology Associates PC Past Accepting new patients
Eastern CT Cardiology Diagnostics, LLC Cardiovascular Disease Past Accepting new patients

Locations

23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

8 Vista Dr
Old Lyme, CT 06371
Phone (646) 942-7318

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: francisj.mirecki@xdr.hhchealthdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1083667265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 OTROBANDO AVE",
            "address_2": "SUITE 102",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602116",
            "telephone_number": "860-886-0023",
            "fax_number": "860-886-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 OTROBANDO AVE",
            "address_2": "SUITE 102",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602116",
            "telephone_number": "860-886-0023",
            "fax_number": "860-886-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRECKI",
        "first_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "33689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/ECCD:06-1616101",
            "identifier": "010033689CT05",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "033689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE FAMILY PLAN",
            "identifier": "001336892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED/ECCG: 06-1049086",
            "identifier": "110088356",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/ECCG:06-1049086",
            "identifier": "030514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/ECCD:06-1616101",
            "identifier": "0V9737",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD/ECCG:  06-1049086",
            "identifier": "NLS105",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001336892",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/ECCG:06-1049086",
            "identifier": "010033689CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED/ECCD: 06-1616101",
            "identifier": "060064827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/HOSP-BASED ECCD",
            "identifier": "500HBC444CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD/ECCD: 06-1616101",
            "identifier": "P2524312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.