Midstate Medical Center
Organization Active NPI General Acute Care Hospital · Meriden, CT
NPI 1154425288 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154425288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 0070 (CT)
- Legal business name
- MIDSTATE MEDICAL CENTER
- Practice address
- 435 Lewis Ave
Meriden, CT 06451-2101 - Phone
- (860) 696-6287
- Fax
- (860) 696-6035
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Ralph W Becker
- Title
- VP Finance
- Phone
- (860) 696-6220
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 1
Practitioners 662
-
Amir Ahmad, MD
-
Anum Ahmed, M.D.
-
Zain Ahmed, M.D.
-
Kelly Anne Alberdi, LCSW
-
Sarah Banks, M.D.
-
Maya Jenny Bartel, APRN
-
Ebisa Y Bekele, MD
-
Daniel Berluti, PA-C
-
Steven Neil Bleich, M.D., MPH
-
Nicola Calabrese, APRN
-
Shailaja Chikoti, M.B., B.S.
-
Elaine M. Cournean, APRN
-
Carolyn Colby Cruz, PA-C
-
Katherine M Daoud, M.D.
-
Daniel Joseph De Gala, M.D.
-
Tara J Dempsey, PA-C
-
John Dinkler, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040203000244 | CT | Part B Supplier - Clinic/Group Practice | 7416840699 |
Receives reassigned benefits from 636 practitioners 3 other NPIs on this enrollment Practice locations: Meriden, CT; West Hartford, CT; Wallingford, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0070 | CT | Yes |
Addresses
Primary practice location
435 Lewis Ave
Meriden, CT 06451-2101
Mailing address
435 Lewis Ave
Meriden, CT 06451-2101
Phone (860) 696-6287
Other names
- Midstate Hospitalist Program
Other providers in Meriden, CT
- Louis Meyer
- Micha Abeles MD
- Shannon Michalak
- Midstate Arc
- Midstate Gastroenterology Specialists PC
- Midstate Medical Center
- Midstate Medical Center
- Midstate Medical Center
- Midstate Medical Group, PC
- Midstate Radiology Associates, LLC
All providers in Meriden, CT · General Acute Care Hospital in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.