Individual provider Active NPI

Paul Arthur Guardino, MD

  • Internal Medicine Physician
  • Farmington, CT
National Provider Identifier
1174531172
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043532 Issued in CT
Practice address
501 Farmington Ave
Farmington, CT 06032-1901
Phone
(860) 674-4334
Fax
(860) 674-4344
NPI assigned
Aug 4, 2006
Last updated
Jun 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 043532 CT Primary

Addresses

Primary practice location

501 Farmington Ave
Farmington, CT 06032-1901

Mailing address

501 Farmington Ave
Farmington, CT 06032-1901
Phone (860) 674-4334

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
I20050930000269 CT Practitioner - Internal Medicine 1456386390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Vermont College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Care Associates LLCGroup PAC ID 6002841947, 2 clinicians

Practice addresses (Care Compare)

501 Farmington Ave
Farmington, CT 06032-1901
Phone (860) 674-4334

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043532CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Associates LLC Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients

Locations

501 Farmington Ave
Farmington, CT 06032
Phone (860) 284-4406

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23932/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paul.guardino.1@23932.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1174531172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321901",
            "telephone_number": "860-674-4334",
            "fax_number": "860-674-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321901",
            "telephone_number": "860-674-4334",
            "fax_number": "860-674-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDINO",
        "first_name": "PAUL",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.