Individual provider Active NPI

Pietro A Memmo, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hartford, CT
National Provider Identifier
1225035322
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
041509 Issued in CT
Practice address
31 Seymour St Ste 100
Hartford, CT 06106-5521
Phone
(860) 549-3210
Fax
(860) 247-3803
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 041509 CT Primary

Addresses

Primary practice location

31 Seymour St Ste 100
Hartford, CT 06106-5521

Mailing address

74 Batterson Park Rd Ste 107
Farmington, CT 06032-2565
Phone (860) 549-3210

Other identifiers 1

IdentifierTypeStateIssuer
001415092MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address orthoassoc@oah.allscriptsdirectnet Direct

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
I20100827000181 CT Practitioner - Physical Medicine and Rehabilitation 3577653211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

499 Farmington Ave
Suite 300
Farmington, CT 06032-1933
Phone (860) 549-3210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041509CTMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hartford,PC CurrentSince Aug 1, 2003 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Aug 1, 2003 Accepting new patients

Locations

270 Farmington Ave
Ste 102
Farmington, CT 06032

74 Batterson Park Rd
Ste 107
Farmington, CT 06032

499 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 549-8986

85 Seymour St
Ste 607
Hartford, CT 06106
Phone 8605493210 ext. 8979

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

150 Enterprise Dr
Rocky Hill, CT 06067
Phone (860) 244-8857

Interoperability endpoints

  • Direct secure messaging: pietro.memmo@xdr.hhchealthdirect.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 2

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1225035322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BATTERSON PARK RD STE 107",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322565",
            "telephone_number": "860-549-3210",
            "fax_number": "860-247-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SEYMOUR ST STE 100",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065521",
            "telephone_number": "860-549-3210",
            "fax_number": "860-247-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMMO",
        "first_name": "PIETRO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CT",
            "license": "041509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001415092",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "orthoassoc@oah.allscriptsdirectnet",
            "affiliation": "N",
            "endpointDescription": "ORTHOPEDIC ASSOCIATES OF HARTFORD DIRECT ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "31 Seymour St Ste 100",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061065521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.