Organization Active NPI

Dr R Hillsman MD PC

  • Orthopaedic Surgery Physician
  • Southbury, CT
National Provider Identifier
1295700441
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
021015 Issued in CT
Legal business name
DR R HILLSMAN MD PC
Practice address
2 Pomperaug Office Park Ste 308
Southbury, CT 06488-2293
Phone
(203) 586-1181
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Authorized official

Name
Dr. Regina Onie Hillsman, MDNPI 1649256165
Title
President
Phone
(203) 729-6335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 021015 CT Primary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X 021015 CT
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X 021015 CT

Addresses

Primary practice location

2 Pomperaug Office Park Ste 308
Southbury, CT 06488-2293

Mailing address

1771 Post Rd E
Westport, CT 06880-5606
Phone (203) 803-0238

Other practice location 1

101 Merritt 7 Ste 300
Norwalk, CT 06851-1059
Phone (203) 663-0500

Other identifiers 8

IdentifierTypeStateIssuer
44337OtherMD HEALTH PLAN
ZS054OtherOXFORD HEALTH PLAN
0R0504OtherPHS
83988OtherUS HEALTHCARE
A89105OtherMEDSPAN
2108419OtherCTAETNA
200000306OtherRAILROAD MEDICARE
799988OtherCONNECTICARE

Other names 1

  • DR R HILLSMAN PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000402 CT Part B Supplier - Clinic/Group Practice 1557459641 Receives reassigned benefits from 1 practitioner
Practice locations: Norwalk, CT; Southbury, CT

National Provider Directory

National Provider Directory

Locations

1183 New Haven Rd
Naugatuck, CT 06770
Phone (203) 723-0722

1183 New Haven Rd
#R
Naugatuck, CT 06770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1295700441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805606",
            "telephone_number": "203-803-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POMPERAUG OFFICE PARK STE 308",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882293",
            "telephone_number": "203-586-1181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Merritt 7 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068511059",
            "country_code": "US",
            "telephone_number": "203-663-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR R HILLSMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A",
        "authorized_official_last_name": "HILLSMAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "ONIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-729-6335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "021015",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CT",
            "license": "021015",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CT",
            "license": "021015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD HEALTH PLAN",
            "identifier": "44337",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "ZS054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "0R0504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "83988",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDSPAN",
            "identifier": "A89105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2108419",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200000306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "799988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR R HILLSMAN PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DR R HILLSMAN PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.