Individual provider Active NPI

Meghan Elizabeth Malentacchi, M.D.

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1235391749
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50936 Issued in CT
Practice address
19 Woodland St Ste 31
Hartford, CT 06105-2368
Phone
(860) 728-1212
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 50936 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

19 Woodland St Ste 31
Hartford, CT 06105-2368

Mailing address

19 Woodland St Ste 31
Hartford, CT 06105-2368
Phone (860) 728-1212

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
I20160323001243 CT Practitioner - Obstetrics/Gynecology 2668779331 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

1178 Silas Deane Hwy
Suite 3
Wethersfield, CT 06109-4340
Phone (860) 633-8550

35 Nod Rd
203 Woodland Womens Health Asscociates
Avon, CT 06001-3826
Phone (860) 409-1540

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince May 19, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 28, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Obstetrics & Gynecology CurrentSince Jan 28, 2022 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients

Locations

35 Nod Rd
Ste 203
Avon, CT 06001
Phone (860) 409-1540

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

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

19 Woodland St
Ste 31
Hartford, CT 06105
Phone (860) 714-4680

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

Interoperability endpoints

  • Direct secure messaging: meghan.malentacchi.1@10170.direct.athenahealth.com

Organizations & group practices 6

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 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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1235391749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST STE 31",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052368",
            "telephone_number": "860-728-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST STE 31",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052368",
            "telephone_number": "860-728-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALENTACCHI",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "50936",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.