NPIMap

Individual provider Active NPI

Jong Gil Oh, MD

  • Internal Medicine Physician
  • Farmington, CT
National Provider Identifier
1245296573
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045845 Issued in CT
Practice address
4 Farm Springs Rd
Farmington, CT 06032-2573
Phone
(860) 284-5200
Fax
(860) 284-5333
NPI assigned
Apr 25, 2006
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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 045845 CT Primary

Addresses

Primary practice location

4 Farm Springs Rd
Farmington, CT 06032-2573

Mailing address

52 Peck Rd
Torrington, CT 06790-6107
Phone (860) 489-6899

Other identifiers 1

IdentifierTypeStateIssuer
1245296573MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000382 CT Practitioner - Internal Medicine 4486630431 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Reliant Housecalls, PLLCGroup PAC ID 4284174228, 17 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

30 Lafayette SQ
Suite 30
Vernon, CT 06066-4554
Phone (800) 391-0599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045845CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windham Community Memorial Hospital, Inc. CurrentSince Jun 1, 2016 Accepting new patients
HDC Care Solutions, LLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Sep 5, 2017 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
Ma Pacs 2 PC CurrentSince Mar 1, 2020 Accepting new patients
Healthdrive Medical Services Southeast LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
The William W Backus Hospital Current Accepting new patients
Connecticut Post Acute Medical Services 1 PC CurrentSince Sep 5, 2017 Accepting new patients
Inhouse Care LLC CurrentSince Aug 15, 2017 Accepting new patients
The William W Backus Hospital Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Prohealth Physicians PC Internal Medicine CurrentSince Dec 1, 2007 Accepting new patients
Reliant Housecalls, PLLC CurrentSince Jan 1, 2026 Accepting new patients
William W Backus Hospital CurrentSince Sep 1, 2018 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine Current Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

23 Fair St
Bristol, CT 06010
Phone (860) 347-6300

61 Bellevue Ave
Bristol, CT 06010
Phone (281) 968-8121

4 Farm Springs Rd
Farmington, CT 06032
Phone (860) 284-5200

850 Mix Ave
Hamden, CT 06514
Phone (203) 281-3500

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

111 Church St
Middletown, CT 06457
Phone (860) 347-3786

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

52 Peck Rd
Torrington, CT 06790
Phone (860) 489-4022

30 Lafayette Sq
Ste 30
Vernon, CT 06066
Phone (800) 391-0599

276 Highland Ave
Ste 2A
Waterbury, CT 06708
Phone (203) 819-7220

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443

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

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Noble HorizonsSalisbury, CT, CCN 075236 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Cook Willow Health CenterPlymouth, CT, CCN 075349 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2007
May 1, 2007

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1245296573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906107",
            "telephone_number": "860-489-6899",
            "fax_number": "890-489-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FARM SPRINGS RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322573",
            "telephone_number": "860-284-5200",
            "fax_number": "860-284-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JONG",
        "middle_name": "GIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "045845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245296573",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.