Individual provider Active NPI

Agnieszka E. Grochowalska, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Trumbull, CT
National Provider Identifier
1144496209
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
050146 Issued in CT
Practice address
112 Quarry Rd
Suite 250
Trumbull, CT 06611-4848
Phone
(203) 371-7048
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 050146 CT Primary

Addresses

Primary practice location

112 Quarry Rd
Suite 250
Trumbull, CT 06611-4848

Mailing address

112 Quarry Rd
Suite 250
Trumbull, CT 06611-4848
Phone (203) 371-7048

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
I20111107000006 CT Practitioner - Endocrinology 2860665940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Assoc of CT LLCGroup PAC ID 0840257192, 10 clinicians

Practice addresses (Care Compare)

1952 Whitney Ave
Suite 14
Hamden, CT 06517-1209
Phone (203) 776-4444

688 E Main St
Suite 1a
Branford, CT 06405-2971
Phone (203) 488-5885

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050146CTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Assoc of CT LLC Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2017 Accepting new patients
Primed, LLC Past Accepting new patients

Locations

688 E Main St
Ste 1A
Branford, CT 06405
Phone (203) 488-5885

688 E Main St
Branford, CT 06405
Phone (203) 208-3458

1952 Whitney Ave
Ste 14
Hamden, CT 06517
Phone (203) 766-4444

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

Interoperability endpoints

  • Direct secure messaging: agrochowalska3289@direct.ynhh.org

Organizations & group practices 2

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1144496209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD",
            "address_2": "SUITE 250",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114848",
            "telephone_number": "203-371-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD",
            "address_2": "SUITE 250",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114848",
            "telephone_number": "203-371-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCHOWALSKA",
        "first_name": "AGNIESZKA",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "050146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.