Active NPI
Michael J Fucci, DO
- Cardiovascular Disease Physician
- Norwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 042445
- Practice address
- 79 Wawecus St
Suite #106
Norwich, CT 06360-2160 - Phone
- (860) 886-2679
- Fax
- (860) 889-2862
- NPI assigned
- Jan 23, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 042445 | CT | Primary |
Addresses
Primary practice location
79 Wawecus St
Suite #106
Norwich, CT 06360-2160
Mailing address
79 Wawecus St
Suite #106
Norwich, CT 06360-2160
Phone (860) 886-2679
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of New England, College of Osteo Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Sandy Hollow Rd
Mystic, CT 06355-1744
Phone (860) 572-2344
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- 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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042445 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
200 Sandy Hollow Rd
Mystic, CT 06355
Phone (860) 536-4916
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
79 Wawecus St
Ste 106
Norwich, CT 06360
Phone (860) 886-2679
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
Organizations & group practices 4
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Cardiovascular Disease
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1104896224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 WAWECUS ST",
"address_2": "SUITE #106",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602160",
"telephone_number": "860-886-2679",
"fax_number": "860-889-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 WAWECUS ST",
"address_2": "SUITE #106",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602160",
"telephone_number": "860-886-2679",
"fax_number": "860-889-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCCI",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "042445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.
- 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.