Active NPI
Jenna Koliani-Pace, M.D.
- Gastroenterology Physician
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 63719
- Practice address
- 300 Western Blvd Ste a
Glastonbury, CT 06033-4305 - Phone
- (860) 657-1920
- Fax
- (860) 657-1925
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 18675 | NH | |
| Gastroenterology Physician | 207RG0100X | 63719 | CT | Primary |
Addresses
Primary practice location
300 Western Blvd Ste a
Glastonbury, CT 06033-4305
Mailing address
1 Medical Center Dr
DHMC Department of Gastroenterology
Lebanon, NH 03756-1000
Phone (603) 650-5261
Other names 1
- Jenna Koliani
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Connecticut School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
85 Seymour St
Suite 1000
Hartford, CT 06106-5529
Phone (860) 246-2571
Hospital & facility affiliations
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.99 of 100
- Quality
- 89.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 47 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Gi PLLC | Gastroenterology | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Litchfield County Gastroenterology Associates, LLC | Gastroenterology | Past | Accepting new patients |
| Hartford Hospital | Past | Accepting new patients |
Locations
300 Western Blvd
Glastonbury, CT 06033
Phone (860) 547-0306
300 Western Blvd
Ste A
Glastonbury, CT 06033
Phone 8606571920 ext. 86065
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
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.
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- Gastroenterology Physician
- Torrington, CT
- NPI 1871513283
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1316209141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC DEPARTMENT OF GASTROENTEROLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WESTERN BLVD STE A",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334305",
"telephone_number": "860-657-1920",
"fax_number": "860-657-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLIANI-PACE",
"first_name": "JENNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NH",
"license": "18675",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "63719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "KOLIANI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.