Individual provider Active NPI

Lisa Talati, DO

  • Family Medicine Physician
  • Vernon, CT
National Provider Identifier
1235441890
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051957 Issued in CT
Practice address
428 Hartford Tpke
Vernon, CT 06066-4841
Phone
(860) 533-4611
NPI assigned
Jul 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 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 051957 CT Primary

Addresses

Primary practice location

428 Hartford Tpke
Vernon, CT 06066-4841

Mailing address

428 Hartford Tpke
Suite 210
Vernon, CT 06066-4841

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
I20130806000296 CT Practitioner - Family Practice 8527200443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

428 Hartford Tpke
Suite 210
Vernon, CT 06066-4841
Phone (860) 533-4611

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051957CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. Family Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

428 Hartford Tpke
Vernon Rockville, CT 06066
Phone (860) 871-2508

428 Hartford Tpke
Ste 210
Vernon Rockville, CT 06066
Phone (860) 533-4611

Interoperability endpoints

  • Direct secure messaging: lisatalati@mpp.allscriptsdirect.net

Organizations & group practices 3

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": "1278806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1235441890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 HARTFORD TPKE",
            "address_2": "SUITE 210",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664841",
            "telephone_number": "860-533-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALATI",
        "first_name": "LISA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "051957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.