Joseph T Anquillare Sr., M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Hartford, CT
NPI 1316043045 · NPPES record last updated Mar 8, 2012
Key facts
- NPI
- 1316043045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 034074 (CT)
- Practice address
- 85 Seymour St
Suite 901
Hartford, CT 06106-5501 - Phone
- (860) 244-0148
- Fax
- (860) 493-1852
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Starling Physicians, PLLC
Practice addresses (Care Compare)
100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666
Hospital & facility affiliations
- Hartford Healthcare at Home
- Hartford Healthcare at Home
- McLean Home Care and Hospice
- Constellation Home Care
- Vitas Healthcare Corporation Atlantic
- Beacon Hospice, an Amedisys Company
- Griffin Hospital
- Manchester Memorial Hospital
- Maple View Health & Rehabilitation Center
- Avery Nursing Home/Noble Building
- Jerome Home
- Monsignor Bojnowski Manor, Inc
- Bel-Air Manor Nursing & Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Avery Heights |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2002 Mar 1, 2002 |
| Noble Horizons |
Skilled nursing facility | Corporate Officer | Dec 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091217000452 | CT | Practitioner - Internal Medicine |
6709873946 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034074 | CT | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Physicians PLLC | Current |
Accepting new patients | |
| Starling Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| Starling Physicians, PLLC | Current |
Accepting new patients | |
| Starling Physicians, PLLC | Past | Accepting new patients | |
| Joseph T Anquillare, MD, LLC | Internal Medicine | Past |
Accepting new patients |
| Church Homes, Inc. Congregational | Past |
Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
85 Seymour St
Ste 901
Hartford, CT 06106
Phone (860) 244-0148
100 Retreat Ave
Ste 901
Hartford, CT 06106
2110 Silas Deane Hwy
Rocky Hill, CT 06067
1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 034074 | CT | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 034074 | CT | Yes |
Addresses
Primary practice location
85 Seymour St
Suite 901
Hartford, CT 06106-5501
Mailing address
2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 258-3470
Other providers in Hartford, CT
- Anthony Daniel Angotta
- Maritza Angulo de Gonzalez
- Mythri Anil Kumar
- Belinda Anne
- Maia Annunziato
- Emily J Anstadt Lutz
- Paul Robert Anthony Jr.
- Varnel Lordan Antoine
- Fnu Anum
- Samuel K Anyatonwu
All providers in Hartford, CT · Geriatric Medicine (Internal Medicine) Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.