Active NPI
Ana M Verissimo, M.D.
- Pediatrics Physician
- Hartford, CT
National Provider Identifier
1174535561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 031426
- Practice address
- 282 Washington St
Division of Pain Medicine
Hartford, CT 06106-3322 - Phone
- (860) 837-5207
- Fax
- (860) 837-5209
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 031426 | CT | Primary |
Addresses
Primary practice location
282 Washington St
Division of Pain Medicine
Hartford, CT 06106-3322
Mailing address
60 Hartland Street - Cbo
East Hartford, CT 06108-3250
Phone (860) 837-5615
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | averissimo6095@connecticutchildrens.direct-ci.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040123000748 | CT | Practitioner - Pediatric Medicine | 7315849932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current | Accepting new patients |
Locations
60 Hartland St
East Hartford, CT 06108
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
Interoperability endpoints
- averissimo6095@connecticutchildrens.direct-ci.com
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.
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
Pediatrics
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1174535561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HARTLAND STREET - CBO",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083250",
"telephone_number": "860-837-5615",
"fax_number": "860-837-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"address_2": "DIVISION OF PAIN MEDICINE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-837-5207",
"fax_number": "860-837-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERISSIMO",
"first_name": "ANA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "031426",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "averissimo6095@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "282 Washington St",
"address_2": "Division of Pain Medicine",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061063322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.