Active NPI
Lucia Catherine Benzoni, D.O.
- Pediatrics Physician
- Bantam, CT
National Provider Identifier
1285660308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 000519
- Practice address
- 622 Bantam Rd
Bantam, CT 06750-1600 - Phone
- (860) 567-1263
- NPI assigned
- Jun 23, 2006
- Last updated
- May 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001005190 | Medicaid | CT |
Other names 1
- Mrs. Lucia Catherine Benzoni-Dieck
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 54.86 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 519 | CT | MD | Naturopath |
| 000519 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Hospital Multi Specialty Group, Inc | Internal Medicine | Current | 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
- lucia.benzoni@bhmg.eclinicaldirectplus.com
- 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.
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
Internal Medicine
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
-
- Pediatrics Physician
- Litchfield, CT
- NPI 1407984230
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.