Individual provider Active NPI

Michael Kalinowski, M.D.

  • Family Medicine Physician
  • Higganum, CT
National Provider Identifier
1306884341
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
044026 Issued in CT
Practice address
415 Killingworth Road
Higganum, CT 06441
Phone
(860) 345-8535
Fax
(860) 345-8678
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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 044026 CT Primary

Addresses

Primary practice location

415 Killingworth Road
Higganum, CT 06441

Mailing address

415 Killingworth Road
Higganum, CT 06441
Phone (860) 345-8535

Other identifiers 1

IdentifierTypeStateIssuer
044026OtherCTMEDICAL LICENSE

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
I20060612000161 CT Practitioner - Family Practice 5193737112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-4821

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044026CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Family Medicine CurrentSince Nov 1, 2017 Accepting new patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Nov 1, 2017 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Middlesex Hospital Family Medicine Past Accepting new patients

Locations

42 E High St
East Hampton, CT 06424
Phone (860) 344-6394

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

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

13 High St
Portland, CT 06480
Phone (860) 358-6418

Interoperability endpoints

  • Direct secure messaging: mkalinowski13413@middlesexhealthprd.direct-ci.com

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1306884341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 KILLINGWORTH ROAD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "06441",
            "telephone_number": "860-345-8535",
            "fax_number": "860-345-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 KILLINGWORTH ROAD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "06441",
            "telephone_number": "860-345-8535",
            "fax_number": "860-345-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINOWSKI",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "044026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "044026",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Higganum, CT

Sources for this page

Verify at the official NPI Registry.