Individual provider Active NPI

David B Parmelee, DO

  • Family Medicine Physician
  • Madison, CT
National Provider Identifier
1124123518
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CT000280 Issued in CT
Practice address
1291 Boston Post Rd
Suite 105
Madison, CT 06443-3476
Phone
(203) 245-1413
Fax
(860) 358-8655
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CT000280 CT Primary

Addresses

Primary practice location

1291 Boston Post Rd
Suite 105
Madison, CT 06443-3476

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4820

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
I20070330000384 CT Practitioner - Family Practice 5294839262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

1291 Boston Post Rd
Suite 105
Madison, CT 06443-3476
Phone (860) 358-5100

270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040

Hospital & facility affiliations

  • Yale New Haven Health - Health at Home Home health agency, Milford, CT, CCN 077143
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000280CTMDProfessional Counselor
CT000280CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc Family Medicine CurrentSince Apr 28, 2014 Accepting new patients
MHS Primary Care Inc Family Medicine CurrentSince Apr 28, 2014 Accepting new patients
Northeast Medical Group, Inc. PastSince Apr 1, 2007 Accepting new patients

Locations

1291 Boston Post Rd
Ste 105
Madison, CT 06443
Phone (203) 245-1413

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: dparmelee9691@middlesexhealthprd.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1124123518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-4820",
            "fax_number": "860-358-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BOSTON POST RD",
            "address_2": "SUITE 105",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433476",
            "telephone_number": "203-245-1413",
            "fax_number": "860-358-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMELEE",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "CT000280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.