Active NPI
Doreen Konik, M.D.
- Internal Medicine Physician
- New Milford, CT
National Provider Identifier
1205808417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42886
- Practice address
- 11 Old Park LN
New Milford, CT 06776-2507 - Phone
- (860) 355-1149
- Fax
- (860) 355-5957
- NPI assigned
- Feb 2, 2006
- Last updated
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 42886 | CT | Primary |
Addresses
Primary practice location
11 Old Park LN
New Milford, CT 06776-2507
Mailing address
11 Old Park LN
New Milford, CT 06776-2507
Phone (860) 355-1149
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010042886CT01 | Other | CT | ANTHEM BC/BS |
| 2V7088 | Other | CT | ACS/HEALTHNET |
| 001428863 | Medicaid | CT | |
| P3597904 | Other | CT | OXFORD |
| 4300290 | Other | CT | AETNA/USHC |
| 042886 | Other | CT | CONNECTICARE |
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 Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11 Old Park Lane
New Milford, CT 06776-2507
11 Old Park Lane Rd
New Milford, CT 06776-2507
Phone (860) 355-1149
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Milford Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Past | Accepting new patients |
Locations
11 Old Park Lane Rd
New Milford, CT 06776
Phone (860) 355-1149
Interoperability endpoints
- dkonik@hiemail.healtheconnections.org
- doreen.konik.p1@direct.nmmg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Internal Medicine Physician
- New Milford, CT
- NPI 1356403323
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
dba Candlewood Valley Health and Rehabilitation Center
- Skilled Nursing Facility
- New Milford, CT
- NPI 1336507722
Nursing home
-
dba Ridgefield Visiting Nurse Association
- Home Health Agency
- Ridgefield, CT
- NPI 1497758874
-
- Community Based Hospice Care Agency
- Ridgefield, CT
- NPI 1619491107
-
dba Sharon Hospital
- General Acute Care Hospital
- Sharon, CT
- NPI 1235131442
-
- Home Health Agency
- Danbury, CT
- NPI 1083677132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1205808417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 OLD PARK LN",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067762507",
"telephone_number": "860-355-1149",
"fax_number": "860-355-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 OLD PARK LN",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067762507",
"telephone_number": "860-355-1149",
"fax_number": "860-355-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONIK",
"first_name": "DOREEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2024-04-19",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "42886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010042886CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS/HEALTHNET",
"identifier": "2V7088",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001428863",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3597904",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "4300290",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "042886",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.