Active NPI
Henry J. Spencer, M.D.
- Dermatology Physician
- Torrington, CT
National Provider Identifier
1245307487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 029055
- Practice address
- 663 East Main St.
Unit 5
Torrington, CT 06790 - Phone
- (860) 489-0227
- Fax
- (860) 626-0039
- NPI assigned
- Nov 30, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 029055 | CT | Primary |
Addresses
Primary practice location
663 East Main St.
Unit 5
Torrington, CT 06790
Mailing address
663 East Main St.
Unit 5
Torrington, CT 06790
Phone (860) 489-0227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0V0114 | Other | HEALTHNET | |
| 010029055CT01 | Other | BCBS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111206000540 | CT | Practitioner - Dermatology | 9335314137 | Practice locations: Torrington, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
663 E Main St
Suite 5
Torrington, CT 06790-5665
Phone (860) 489-0227
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1185 |
| Skin biopsy | 501 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029055 | CT | MD | Dermatology Physician |
Interoperability endpoints
- henryj.spencer@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1245307487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 EAST MAIN ST.",
"address_2": "UNIT 5",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "06790",
"telephone_number": "860-489-0227",
"fax_number": "860-626-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 EAST MAIN ST.",
"address_2": "UNIT 5",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "06790",
"telephone_number": "860-489-0227",
"fax_number": "860-626-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "HENRY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "029055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0V0114",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010029055CT01",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.