Active NPI
Theodoros Kapetanakis, M.D.
- Obstetrics & Gynecology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 082254
- Practice address
- 80 Seymour St
Hartford, CT 06102-8000 - Phone
- (860) 972-3497
- NPI assigned
- Mar 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 27569 | OK | |
| Obstetrics & Gynecology Physician | 207V00000X | 60406093 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | 082254 | CT | Primary |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06102-8000
Mailing address
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-3497
Other practice location 1
65 Memorial Rd
West Hartford, CT 06107-2434
Phone (860) 696-2870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500
Hospital & facility affiliations
- Hartford Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27569 | OK | MD | Obstetrics & Gynecology Physician |
| 60406093 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Hartford Hospital | Current | Accepting new patients | |
| Obhg Massachusetts PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Greater Lawrence Family Health Center, Inc. | Past | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
65 Memorial Rd
Ste 500
West Hartford, CT 06107
Phone (860) 432-2100
65 Memorial Rd
West Hartford, CT 06107
Phone (860) 231-1707
65 Memorial Rd
Ste 410
West Hartford, CT 06107
Phone (860) 368-1648
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
1 General St
Bldg 4TH
Lawrence, MA 01841
Phone (978) 983-0488
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Lawrence, MA
- NPI 1740844083
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Federally Qualified Health Center (FQHC)
- Lawrence, MA
- NPI 1013284843
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1174846372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "860-972-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "860-972-3497"
}
],
"practiceLocations": [
{
"address_1": "65 Memorial Rd",
"address_purpose": "LOCATION",
"city": "West Hartford",
"state": "CT",
"postal_code": "061072434",
"country_code": "US",
"telephone_number": "860-696-2870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPETANAKIS",
"first_name": "THEODOROS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-02",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "27569",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "60406093",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "082254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 19, 2025; 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.