Organization Active NPI

Nes Medical Services of Northern Connecticut, P.C.

  • Emergency Medicine Physician
  • Stafford Springs, CT
National Provider Identifier
1194450478
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C.
Practice address
201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone
(860) 684-4251
NPI assigned
Jul 20, 2022
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Matt Teter
Title
Corporate Secretary
Phone
(833) 507-7972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005

Mailing address

7300 State Highway 121 Ste 370-374
McKinney, TX 75070-1987
Phone (469) 557-6183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040112000084 CT Part B Supplier - Clinic/Group Practice 7315843968 Receives reassigned benefits from 81 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Putnam, CT; Stafford Springs, CT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1194450478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 STATE HIGHWAY 121 STE 370-374",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701987",
            "telephone_number": "469-557-6183",
            "fax_number": "469-640-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHESTNUT HILL RD",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "060764005",
            "telephone_number": "860-684-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "TETER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "833-507-7972"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford Springs, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.