David J Domenichini MD, PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

032306 Issued in CT

Legal business name

DAVID J DOMENICHINI MD, PC

Practice address

701 Cottage Grove Rd Ste B220
Bloomfield, CT 06002-3077

Phone

(860) 561-1007

Fax

(860) 561-1222

NPI assigned

Nov 29, 2007

Last updated

May 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David J Domenichini, M.D.NPI 1225004922

Title

Owner/Physician

Phone

(860) 561-1007

Specialties & licenses 3

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: drdoffice@ddendo.org
• FHIR API: https://api.platform.athenahealth.com/14405/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• David John Domenichini, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomfield, CT
  • NPI 1225004922
  Medicare reassignment Authorized official
• Carolyn Elizabeth Considine, APRN, DNP, FNP-BC

  • Family Nurse Practitioner
  • West Hartford, CT
  • NPI 1619400504
  Medicare reassignment NPD
• Jennifer Lagosz Conboy, APRN FNP

  • Family Nurse Practitioner
  • West Hartford, CT
  • NPI 1295251254
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1205018470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE B220",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023077",
            "telephone_number": "860-561-1007",
            "fax_number": "860-561-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE B220",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023077",
            "telephone_number": "860-561-1007",
            "fax_number": "860-561-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J DOMENICHINI MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "DOMENICHINI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "860-561-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "032306",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032306",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "032306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/ BLUE SHIELD  GROUP",
            "identifier": "50DOMENICCT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "500000218",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DH2482",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID APRN GROUP",
            "identifier": "500000332",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C03887",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdoffice@ddendo.org",
            "affiliation": "N",
            "address_1": "701 Cottage Grove Rd Ste B220",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060023077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Endocrinology, Diabetes & Metabolism Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.