Individual provider Active NPI

Eileen C Comia, MD

  • Internal Medicine Physician
  • Bloomfield, CT
National Provider Identifier
1235233313
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035905 Issued in CT
Practice address
35 Jolley Dr
Suite 102
Bloomfield, CT 06002-3062
Phone
(860) 242-2200
Fax
(860) 242-2212
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 035905 CT Primary

Addresses

Primary practice location

35 Jolley Dr
Suite 102
Bloomfield, CT 06002-3062

Mailing address

35 Jolley Dr
Suite 102
Bloomfield, CT 06002-3062
Phone (860) 242-2200

Other identifiers 3

IdentifierTypeStateIssuer
001359050MedicaidCT
7777840121OtherCTCONNECTICARE
010035905CT04OtherCTBLUE CROSS BLUE SHIELD

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
I20040325000471 CT Practitioner - Internal Medicine 7315838588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Jolley Dr
Suite 102
Bloomfield, CT 06002-3071

35 Jolley Dr
Suite 102
Bloomfield, CT 06002-4228
Phone (860) 242-2200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eileen C. Comia, MD, LLC Internal Medicine CurrentSince Feb 26, 2007 Accepting new patients

Locations

35 Jolley Dr
Ste 102
Bloomfield, CT 06002
Phone (860) 242-2200

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

Interoperability endpoints

  • Direct secure messaging: ecomia2387295@direct.trinity-health.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1235233313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 102",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023062",
            "telephone_number": "860-242-2200",
            "fax_number": "860-242-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 102",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023062",
            "telephone_number": "860-242-2200",
            "fax_number": "860-242-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMIA",
        "first_name": "EILEEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "035905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001359050",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "7777840121",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010035905CT04",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.