Active NPI
David John Domenichini, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield, CT
National Provider Identifier
1225004922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 032306
- Practice address
- 701 Cottage Grove Rd Ste B220
Bloomfield, CT 06002-3077 - Phone
- (860) 561-1007
- Fax
- (860) 561-1222
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 032306 | CT | Primary |
Addresses
Primary practice location
701 Cottage Grove Rd Ste B220
Bloomfield, CT 06002-3077
Mailing address
701 Cottage Grove Rd Ste B220
Bloomfield, CT 06002-3077
Phone (860) 561-1007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001323063 | Medicaid | CT |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drdoffice@ddendo.org | ||
| Direct Messaging Address | drdoffice@ddendo.org |
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
- Endocrinology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
701 Cottage Dr
Bloomfield, CT 06002-3077
Phone (860) 561-1007
Hospital & facility affiliations
- Bristol Hospital
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.15 of 100
- Quality
- 99.58
- Improvement activities
- 40
- Cost
- 84.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| CT Emergency Medicine Specialists, LLC | Past | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
181 Patricia M Genova Dr
Newington, CT 06111
Phone (860) 667-5480
Interoperability endpoints
- https://api.platform.athenahealth.com/14405/brand/1/csg/1/fhir/r4
- david.domenichini.1@14405.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield, CT
- NPI 1205018470
CT
-
- Emergency Medicine Physician
- Bristol, CT
- NPI 1699892208
Hospital & facility affiliations 3
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": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1225004922",
"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": {
"last_name": "DOMENICHINI",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CT",
"license": "032306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001323063",
"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"
},
{
"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": []
}Other providers in Bloomfield, CT
Sources for this page
- 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; 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.