Individual provider Active NPI

Doralynne Rose Di Pasquale, D.O.

  • Family Medicine Physician
  • Glastonbury, CT
National Provider Identifier
1235429697
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51722 Issued in CT
Practice address
320 Western Blvd Ste 104
Glastonbury, CT 06033-1276
Phone
(860) 657-5940
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51722 CT Primary

Addresses

Primary practice location

320 Western Blvd Ste 104
Glastonbury, CT 06033-1276

Mailing address

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-4677

Other practice location 1

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 548-6432

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
I20130705000000 CT Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Hospitalist 7416197900 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

320 Western Blvd
Suite 104
Glastonbury, CT 06033-1276
Phone (860) 633-1008

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Masonicare Home Health & Hospice, Inc Home health agency, Wallingford, CT, CCN 077159

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Dec 9, 2019 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince May 1, 2013 Accepting new patients
Lswhb LLC CurrentSince Dec 29, 2024 Accepting new patients
Northeast Medical Group Inc CurrentSince Dec 9, 2019 Accepting new patients
Prohealth Physicians PC Family Medicine CurrentSince Jan 13, 2025 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince May 1, 2013 Accepting new patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

320 Western Blvd
#104
Glastonbury, CT 06033
Phone (860) 633-6832

320 Western Blvd
Ste 104
Glastonbury, CT 06033
Phone (860) 633-2487

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

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 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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1235429697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-4677",
            "fax_number": "203-384-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTERN BLVD STE 104",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331276",
            "telephone_number": "860-657-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Roanoke Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012031",
            "country_code": "US",
            "telephone_number": "631-548-6432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI PASQUALE",
        "first_name": "DORALYNNE",
        "middle_name": "ROSE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "51722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.