Individual provider Active NPI

Constantin Carseli, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Norwich, CT
National Provider Identifier
1255428132
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
040484 Issued in CT
Practice address
119 Sachem St.
Norwich, CT 06360-4128
Phone
(860) 859-3006
Fax
(860) 859-1222
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 040484 CT
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 040484 CT Primary

Addresses

Primary practice location

119 Sachem St.
Norwich, CT 06360-4128

Mailing address

119 Sachem St.
Norwich, CT 06360-4128
Phone (860) 859-3006

Other identifiers 1

IdentifierTypeStateIssuer
001404847MedicaidCT

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
I20070117000028 CT Practitioner - EndocrinologyPractitioner - Internal Medicine 3779584834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

119 Sachem St
Norwich, CT 06360-4128
Phone (860) 859-3006

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040484CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornelio R Hong MD Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACICAA/Endpoint/ACICAA

Organizations & group practices 2

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 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1255428132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SACHEM ST.",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604128",
            "telephone_number": "860-859-3006",
            "fax_number": "860-859-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SACHEM ST.",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604128",
            "telephone_number": "860-859-3006",
            "fax_number": "860-859-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSELI",
        "first_name": "CONSTANTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040484",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "040484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001404847",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.