Individual provider Active NPI

Robert Thomas Ciotola, M.D.

  • Family Medicine Physician
  • Ledyard, CT
National Provider Identifier
1285791046
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
035240 Issued in CT
Practice address
2 Lorenz Industrial Pkwy
Ledyard, CT 06339-1946
Phone
(860) 464-2028
NPI assigned
Jan 2, 2007
Last updated
Nov 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 035240 CT Primary

Addresses

Primary practice location

2 Lorenz Industrial Pkwy
Ledyard, CT 06339-1946

Mailing address

2 Lorenz Industrial Pkwy
Ledyard, CT 06339-1946
Phone (860) 464-2028

Other identifiers 1

IdentifierTypeStateIssuer
001352400MedicaidCT

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
I20100326000525 CT Practitioner - Internal MedicinePractitioner - Family Practice 2062555154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

23 Clara Dr
Mystic, CT 06355-1959
Phone (860) 572-5782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035240CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Sound Medical Associates, PC Family Medicine Current Accepting new patients
Hartford Healthcare Medical Group, Inc Family Medicine PastSince Jan 1, 2021 Accepting new patients
Conncare Inc Family Medicine Past Accepting new patients

Locations

2 Lorenz Industrial Pkwy
Ledyard, CT 06339
Phone (860) 464-3045

743 Colonel Ledyard Hwy
Ledyard, CT 06339
Phone (860) 464-2028

23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907

8 Davis Rd W
Old Lyme, CT 06371
Phone (860) 304-6682

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: rciotola187039@direct.ynhh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1285791046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LORENZ INDUSTRIAL PKWY",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391946",
            "telephone_number": "860-464-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LORENZ INDUSTRIAL PKWY",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391946",
            "telephone_number": "860-464-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOTOLA",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "035240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001352400",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledyard, CT

Sources for this page

Verify at the official NPI Registry.