Individual provider Active NPI

Denise E Cologne, PA

  • Medical Physician Assistant
  • Hartford, CT
National Provider Identifier
1083681910
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000906 Issued in CT
Practice address
200 Retreat Ave
Hartford Hospital Medicine Dept Iol Donnelly Buidling,
Hartford, CT 06106-3309
Phone
(860) 545-7224
NPI assigned
Feb 28, 2006
Last updated
May 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000906 CT
Medical Physician Assistant 363AM0700X 000906 CT Primary
Surgical Physician Assistant 363AS0400X 000906 CT

Addresses

Primary practice location

200 Retreat Ave
Hartford Hospital Medicine Dept Iol Donnelly Buidling,
Hartford, CT 06106-3309

Mailing address

PO Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 972-9047

Other identifiers 2

IdentifierTypeStateIssuer
003009065MedicaidCT
1083681910OtherCTNPI

Other names 1

  • Tug Cologne Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000046 CT Practitioner - Physician Assistant 3173578945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

111 Park St
Hartford, CT 06106-2520
Phone (860) 972-2780

118 Main St
Hartford, CT 06106-1817
Phone (860) 827-7690

119 Washington St
Hartford, CT 06106-4406
Phone (860) 827-7690

132 Jefferson St
Hartford, CT 06106-2404
Phone (860) 972-0200

150 Charter Oak Ave
Hartford, CT 06106-5102
Phone (860) 827-7690

175 Main St
Hartford, CT 06106-1818
Phone (860) 827-7690

200 Retreat Ave
Hartford, CT 06106-3310
Phone (860) 545-7500

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-8660

31 Seymour St
FL 2
Hartford, CT 06106-5521
Phone (860) 972-0050

32 Seymour St
Hartford, CT 06106-3321
Phone (860) 696-5950

35 Seymour St
Hartford, CT 06106-5521
Phone (860) 827-7690

560 Hudson St
Suite 253
Hartford, CT 06106-2501
Phone (860) 972-4444

614 New Britain Ave
Hartford, CT 06106-4033
Phone (860) 827-7690

75 Main St
Hartford, CT 06106-1806
Phone (860) 827-7690

79 Retreat Ave
Hartford, CT 06106-2527
Phone (860) 972-2176

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-2249

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 827-7690

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000906CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital Current Accepting new patients
Hartford Hospital CurrentSince May 20, 2014 Accepting new patients
Hartford Physician Services PC Physician Assistant Past Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

132 Jefferson St
Hartford, CT 06106
Phone (860) 972-0200

200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000

79 Retreat Ave
Hartford, CT 06106
Phone (860) 545-0200

1060 Day Hill Rd
Windsor, CT 06095
Phone (860) 683-2690

Interoperability endpoints

  • Direct secure messaging: denise.cologne@xdr.hhchealthdirect.org

Organizations & group practices 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1083681910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415933",
            "address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415933",
            "telephone_number": "860-972-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVE",
            "address_2": "HARTFORD HOSPITAL MEDICINE DEPT IOL DONNELLY BUIDLING,",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-545-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOGNE",
        "first_name": "DENISE",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000906",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000906",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "000906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003009065",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083681910",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUG",
            "last_name": "COLOGNE",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.