Individual provider Active NPI

Lucia Catherine Benzoni, D.O.

  • Pediatrics Physician
  • Bantam, CT
National Provider Identifier
1285660308
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
000519 Issued in CT
Practice address
622 Bantam Rd
Bantam, CT 06750-1600
Phone
(860) 567-1263
NPI assigned
Jun 23, 2006
Last updated
May 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000519 CT
Pediatrics Physician 208000000X 000519 CT Primary
Hospitalist Physician 208M00000X 000519 CT

Addresses

Primary practice location

622 Bantam Rd
Bantam, CT 06750-1600

Mailing address

PO Box 427
Litchfield, CT 06759-0427
Phone (860) 567-1263

Other identifiers 1

IdentifierTypeStateIssuer
001005190MedicaidCT

Other names 1

  • Mrs. Lucia Catherine Benzoni-Dieck Other name

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
I20120403000003 CT Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9537329321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
54.86 of 100Reported as group
Quality
11.77
Promoting interoperability
98
Improvement activities
0
Cost
73.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
519CTMDNaturopath
000519CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc Internal Medicine CurrentSince Sep 25, 2023 Accepting new patients
Litchfield Hills Pediatrics LLC Pediatrics Past Accepting new patients

Locations

25 Newell Rd
Ste D24
Bristol, CT 06010
Phone (860) 314-6020

25 Newell Rd
Ste E31
Bristol, CT 06010
Phone (860) 308-1020

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

Interoperability endpoints

  • Direct secure messaging: lucia.benzoni@bhmg.eclinicaldirectplus.com
  • Direct secure messaging: lucia.benzoni@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1285660308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067590427",
            "telephone_number": "860-567-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BANTAM RD",
            "city": "BANTAM",
            "state": "CT",
            "postal_code": "067501600",
            "telephone_number": "860-567-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZONI",
        "first_name": "LUCIA",
        "middle_name": "CATHERINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000519",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "000519",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "000519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001005190",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIA",
            "last_name": "BENZONI-DIECK",
            "middle_name": "CATHERINE",
            "prefix": "MRS.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bantam, CT

Sources for this page

Verify at the official NPI Registry.