Individual provider Active NPI

Andrei Codreanu, MD

  • Anesthesiology Physician
  • New Britain, CT
National Provider Identifier
1306028063
Registry record updated Oct 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
051248 Issued in CT
Practice address
100 Grand St
Apt 5J
New Britain, CT 06052-2016
Phone
(860) 224-5011
NPI assigned
Dec 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 265515 NY
Anesthesiology Physician 207L00000X 051248 CT Primary

Addresses

Primary practice location

100 Grand St
Apt 5J
New Britain, CT 06052-2016

Mailing address

1 Oxford Rd
Farmington, CT 06032-1432
Phone (718) 406-6281

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
I20120926000377 CT Practitioner - Anesthesiology 9436308004 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiologists of Middletown, P.C.Group PAC ID 2769479781, 34 clinicians

Practice addresses (Care Compare)

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 347-0720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051248CTMDAnesthesiology Physician
265515NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC CurrentSince Jul 1, 2015 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Jun 1, 2017 Accepting new patients
Anesthesiologists of Middletown, P.C. Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
North American Partners in Anesthesia Connecticut PC Anesthesiology CurrentSince Sep 1, 2012 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Jun 1, 2017 Accepting new patients

Locations

300 Western Blvd
Glastonbury, CT 06033
Phone (860) 547-0306

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

145 S Main St
Middletown, CT 06457
Phone (860) 346-5889

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262

100 Grand St
Apt 5J
New Britain, CT 06052
Phone (860) 224-5011

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 5

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 1

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1306028063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OXFORD RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321432",
            "telephone_number": "718-406-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "address_2": "APT 5J",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODREANU",
        "first_name": "ANDREI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "265515",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "051248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.