Individual provider Active NPI

Laura Celeste Brenes, MD

  • Internal Medicine Physician
  • Farmington, CT
National Provider Identifier
1174795371
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
046967 Issued in CT
Practice address
76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571
Phone
(203) 228-2097
NPI assigned
Mar 27, 2008
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 046967 CT Primary

Addresses

Primary practice location

76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571

Mailing address

76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571
Phone (203) 228-2097

Other practice location 1

172 Rocky Rest Rd
Shelton, CT 06484-4234
Phone (203) 929-1481

Other practice location 2

145 Grove St
Waterbury, CT 06710-2202
Phone (203) 753-7205

Other practice location 3

Sheriden Woods Health Care Center
321 Stonecrest Dr
Bristol, CT 06010-0601
Phone (860) 583-1827

Other practice location 4

560 Woodbury Rd
Watertown, CT 06795-1725
Phone (860) 274-6748

Other identifiers 4

IdentifierTypeStateIssuer
P00964331OtherCTRAILROAD MEDICARE
9473362OtherCTAETNA
608892OtherCTWELLCARE
1174795371MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CLAIM CLAIM, LLC

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
I20090901000638 CT Practitioner - General PracticePractitioner - Internal Medicine 4486709177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046967CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Aug 5, 2014 Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

Interoperability endpoints

  • Direct secure messaging: lbrenes524450@xdr.hhchealthdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1174795371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571",
            "telephone_number": "203-228-2097",
            "fax_number": "203-816-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571",
            "telephone_number": "203-228-2097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Rocky Rest Rd",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064844234",
            "country_code": "US",
            "telephone_number": "203-929-1481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Grove St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067102202",
            "country_code": "US",
            "telephone_number": "203-753-7205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Sheriden Woods Health Care Center",
            "address_2": "321 Stonecrest Dr",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060100601",
            "country_code": "US",
            "telephone_number": "860-583-1827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Woodbury Rd",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "CT",
            "postal_code": "067951725",
            "country_code": "US",
            "telephone_number": "860-274-6748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENES",
        "first_name": "LAURA",
        "middle_name": "CELESTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2022-02-04",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "046967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00964331",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9473362",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "608892",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174795371",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CLAIM",
            "affiliation": "Y",
            "affiliationName": "CLAIM, LLC",
            "address_1": "76 Batterson Park Rd Ste 106",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060322571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.