Individual provider Active NPI

Kathy-Ann Dennis, MD

  • Rheumatology Physician
  • Bloomfield, CT
National Provider Identifier
1316949753
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
043128 Issued in CT
Practice address
701 Cottage Grove Rd Ste B010
Bloomfield, CT 06002-3084
Phone
(860) 838-7555
Fax
(800) 392-4586
NPI assigned
Aug 15, 2005
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 043128 CT Primary

Addresses

Primary practice location

701 Cottage Grove Rd Ste B010
Bloomfield, CT 06002-3084

Mailing address

701 Cottage Grove Rd Ste B010
Bloomfield, CT 06002-3084
Phone (860) 838-7555

Other identifiers 1

IdentifierTypeStateIssuer
001431288MedicaidCT

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
I20050603000114 CT Practitioner - Rheumatology 8123061991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Cottage Grove Rd
Suite B010
Bloomfield, CT 06002-3084
Phone (860) 838-7555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043128CTMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Wellness LLC Rheumatology CurrentSince Jun 15, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients

Locations

701 Cottage Grove Rd
Ste B010
Bloomfield, CT 06002
Phone (860) 243-3315

Interoperability endpoints

  • Direct secure messaging: arcwellness.kathydennis@161440.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1316949753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE B010",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023084",
            "telephone_number": "860-838-7555",
            "fax_number": "800-392-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE B010",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023084",
            "telephone_number": "860-838-7555",
            "fax_number": "800-392-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KATHY-ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "043128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001431288",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.