Active NPI
Theodore R Hartenstein, MD
- Hospitalist Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 49573
- Practice address
- 114 Woodland St
Dept. of Medicine
Hartford, CT 06105-1208 - Phone
- (860) 714-7446
- Fax
- (860) 714-1508
- NPI assigned
- Apr 23, 2007
- Last updated
- Mar 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 49573 | CT | Primary |
| Internal Medicine Physician | 207R00000X | 49573 | CT |
Addresses
Primary practice location
114 Woodland St
Dept. of Medicine
Hartford, CT 06105-1208
Mailing address
1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770
Phone (860) 714-6581
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Massachusetts Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-5322
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49573 | CT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Middlesex Hospital | Internal Medicine | Current | Accepting new patients |
| Middlesex Hospital | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Baystate Medical Practices, Inc | Internal Medicine | Past | Accepting new patients |
| Baystate Affiliated Practice Organization | Internal Medicine | Past | Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
80 S Main St
Middletown, CT 06457
Phone (860) 347-6939
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
1000 Asylum Ave
Ste 2109A
West Hartford, CT 06105
Phone (860) 714-5058
Interoperability endpoints
- thartenstein14002@middlesexhealthprd.direct-ci.com
Organizations & group practices 7
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.
-
dba Middlesex Hospital dba Middlesex Hospital Physician Services
- Family Nurse Practitioner
- Middletown, CT
- NPI 1972563138
Internal Medicine
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, CT
- NPI 1740219625
-
dba Middlesex Hospital Homecare and Hospice
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1043256043
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1225256308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "SUITE 2109A",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-714-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WOODLAND ST",
"address_2": "DEPT. OF MEDICINE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051208",
"telephone_number": "860-714-7446",
"fax_number": "860-714-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTENSTEIN",
"first_name": "THEODORE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "49573",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "49573",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
- Heidi Schiff Hart, LCSW
- Jessica Masiero Hart, M.D.
- Natalie Hart, APRN
- Sean Timothy Hart, PSY.D.
- Hartcare LLC (Health Care Pharmacy)
- Hartford Anesthesia Group, LLC
- Hartford Anesthesiology Associates, Inc.
- Hartford Board of Education
- Hartford Cardiac Laboratory, PC
- Hartford Clinical Associates, P.C. (Hartford Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.