Individual provider Active NPI

Patrick M O'Beirne, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Hartford, CT
National Provider Identifier
1215969753
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
055154 Issued in CT
Practice address
19 Woodland St
Suite 35
Hartford, CT 06105-2372
Phone
(860) 525-1234
Fax
(860) 278-8782
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 055154 CT Primary
Cardiovascular Disease Physician 207RC0000X 055154 CT

Addresses

Primary practice location

19 Woodland St
Suite 35
Hartford, CT 06105-2372

Mailing address

19 Woodland St
Suite 35
Hartford, CT 06105-2372
Phone (860) 525-1234

Other identifiers 2

IdentifierTypeStateIssuer
763494OtherCTCONNECTICARE
008066590MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919001837 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 0648395483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Johnson Memorial Hospital Hospital, Stafford Springs, CT, CCN 070008
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
055154CTMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 15, 2016 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Cardiovascular Disease CurrentSince Sep 15, 2016 Accepting new patients

Locations

1699 King St
Ste 404
Enfield, CT 06082
Phone (860) 651-4358

19 Woodland St
Ste 35
Hartford, CT 06105
Phone 20321768760

19 Woodland St
Ste 45
Hartford, CT 06105
Phone (860) 527-1669

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1000 Asylum Ave
Ste 4309A
Hartford, CT 06105

Interoperability endpoints

  • Direct secure messaging: pobeirne2377196@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1215969753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST",
            "address_2": "SUITE 35",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052372",
            "telephone_number": "860-525-1234",
            "fax_number": "860-278-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST",
            "address_2": "SUITE 35",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052372",
            "telephone_number": "860-525-1234",
            "fax_number": "860-278-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BEIRNE",
        "first_name": "PATRICK",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CT",
            "license": "055154",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "055154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "763494",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008066590",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.