Thomas Paul Agresta, M.D.
Individual provider Active NPI Family Medicine Physician · Hartford, CT
NPI 1194775965 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1194775965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 032432 (CT)
- Practice address
- 99 Woodland St
Hartford, CT 06105-1207 - Phone
- (860) 714-4212
- Fax
- (860) 714-8080
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rutgers New Jersey Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Connecticut Health Center
Asylum Hill Family Medicine Center, Inc.
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692
99 Woodland St
Hartford, CT 06105-1207
Phone (860) 714-4212
Hospital & facility affiliations
- St Francis Hospital & Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110421000650 | CT | Practitioner - Family Practice | 6901081777 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current |
Accepting new patients | |
| Asylum Hill Family Medicine Center Inc | Family Medicine | Current |
Accepting new patients |
| University of Connecticut Health Center | Current |
Accepting new patients | |
| Asylum Hill Family Medicine Center Inc | Past | Accepting new patients |
Locations
117 Albany Tpke
Canton, CT 06019
Phone (860) 658-3444
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
99 Woodland St
Hartford, CT 06105
Phone (860) 714-4212
Interoperability endpoints
- tagresta1830355@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 032432 | CT | Yes |
Addresses
Primary practice location
99 Woodland St
Hartford, CT 06105-1207
Mailing address
99 Woodland St
Hartford, CT 06105-1207
Phone (860) 714-4212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001324326 | Medicaid | CT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tagresta14040@direct.stfranciscare.org | Direct |
Other providers in Hartford, CT
- Rebekka E Agnello
- Jelan Agnew
- Samary Agosto
- Neha Agrawal
- Joshua Agress
- Matthew Joshua Agsalud
- Julius Patrick Diaz Aguas
- Bidossessi(Bido) E Aguessy
- Karyn Agustynowicz
- Samuel Agyei
All providers in Hartford, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.