Active NPI
Laura Celeste Brenes, MD
- Internal Medicine Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 046967
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00964331 | Other | CT | RAILROAD MEDICARE |
| 9473362 | Other | CT | AETNA |
| 608892 | Other | CT | WELLCARE |
| 1174795371 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046967 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Ipc Hospitalists of New England, P.C. | Internal Medicine | Current | 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
- 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.
-
dba Hartford HealthCare Medical Group
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- Wethersfield, CT
- NPI 1043561301
Internal Medicine
-
- Pediatric Cardiology Physician
- Springfield, MA
- NPI 1821401761
CT, Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.