Individual provider Active NPI

Jose Angelo Araullo De Dios, M.D.

  • Pulmonary Disease Physician
  • Norwich, CT
National Provider Identifier
1124227020
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
48679 Issued in CT
Practice address
79 Wawecus St Ste 103
Norwich, CT 06360-2173
Phone
(860) 886-1862
Fax
(860) 886-2046
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 48679 CT Primary

Addresses

Primary practice location

79 Wawecus St Ste 103
Norwich, CT 06360-2173

Mailing address

79 Wawecus St Ste 103
Norwich, CT 06360-2173
Phone (860) 886-1862

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
I20180606001753 CT Practitioner - Pulmonary Disease 1153586359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Physicians of Norwich PCGroup PAC ID 5092601955, 10 clinicians

Practice addresses (Care Compare)

196 Waterford Pkwy S
Suite 101
Waterford, CT 06385-1234
Phone (860) 886-1862

558 Norwich Rd
Plainfield, CT 06374-1725
Phone (860) 886-1862

79 Wawecus St
Suite 103
Norwich, CT 06360-2173
Phone (860) 886-1862

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
74.91
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of Norwich PC Pulmonary Disease CurrentSince Jul 23, 2018 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Moses Cone Medical Services, Inc. Pulmonary Disease CurrentSince Feb 1, 2017 Accepting new patients

Locations

121 Broadway St
Ste 2
Colchester, CT 06415
Phone (860) 537-0900

330 Washington St
Ste 440
Norwich, CT 06360
Phone (860) 886-0228

79 Wawecus St
Ste 103
Norwich, CT 06360
Phone (860) 886-1862

330 Washington St
Ste 430
Norwich, CT 06360
Phone (860) 886-1862

558 Norwich Rd
Plainfield, CT 06374
Phone (860) 564-4054

1200 N Elm St
#5
Greensboro, NC 27401
Phone (336) 832-5777

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

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 9

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1124227020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST STE 103",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602173",
            "telephone_number": "860-886-1862",
            "fax_number": "860-886-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST STE 103",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602173",
            "telephone_number": "860-886-1862",
            "fax_number": "860-886-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE DIOS",
        "first_name": "JOSE ANGELO",
        "middle_name": "ARAULLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "48679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.