Active NPI
Gregory R. Czarnecki, D.O.
- Sports Medicine (Internal Medicine) Physician
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 044289
- Practice address
- 676 Hebron Avenue
Hartford Medical Group
Glastonbury, CT 06033 - Phone
- (860) 696-2250
- Fax
- (860) 696-2260
- NPI assigned
- Jun 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 044289 | CT | Primary |
Addresses
Primary practice location
676 Hebron Avenue
Hartford Medical Group
Glastonbury, CT 06033
Mailing address
676 Hebron Avenue
Hartford Medical Group
Glastonbury, CT 06033
Phone (860) 696-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245278472 | Other | CT | NPI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of New England, College of Osteo Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
98 Main St
Suite 301
Southington, CT 06489-2500
Phone (860) 621-6704
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- Quality
- 83.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| CT Osteopathic, LLC | Sports Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group, Inc | Past | Accepting new patients |
Locations
676 Hebron Ave
#1
Glastonbury, CT 06033
Phone (860) 696-2250
676 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-0629
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
98 Main St
Ste 301
Southington, CT 06489
Phone (860) 621-6704
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- gregory.czarnecki@xdr.hhchealthdirect.org
Organizations & group practices 5
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.
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1245278472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 HEBRON AVENUE",
"address_2": "HARTFORD MEDICAL GROUP",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-696-2250",
"fax_number": "860-696-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 HEBRON AVENUE",
"address_2": "HARTFORD MEDICAL GROUP",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-696-2250",
"fax_number": "860-696-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZARNECKI",
"first_name": "GREGORY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "CT",
"license": "044289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1245278472",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.