Alphonse David Altorelli, M.D.
Individual provider Active NPI Internal Medicine Physician · New Preston Marble Dale, CT
NPI 1336201300 · NPPES record last updated Aug 19, 2023
Key facts
- NPI
- 1336201300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 022338 (CT)
- Practice address
- 125 New Milford Tpke
New Preston Marble Dale, CT 06777-1703 - Phone
- (860) 868-7318
- Fax
- (860) 868-7310
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Eastern Virginia Medical School, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 New Milford Tpke
New Preston, CT 06777-1703
Phone (860) 868-7318
125 New Milford Turnpike
New Preston, CT 06777-1703
Hospital & facility affiliations
- Western Connecticut Home Care Inc
- Rvnahealth
- Visiting Nurse & Hospice of Litchfield County, Inc.
- Danbury Hospital
- Sharon Hospital
- Charlotte Hungerford Hospital
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080317000007 | CT | Practitioner - Internal Medicine | 0840375846 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022338 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alphonse D. Altorelli, M.D., P.C. | Internal Medicine | Current |
Accepting new patients |
Locations
125 New Milford Tpke
New Preston Marble Dale, CT 06777
Phone (860) 868-7318
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHCIAD/Endpoint/DHCIAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 022338 | CT | Yes |
Addresses
Primary practice location
125 New Milford Tpke
New Preston Marble Dale, CT 06777-1703
Mailing address
125 New Milford Tpke
New Preston Marble Dale, CT 06777-1703
Phone (860) 868-7318
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001223387 | Medicaid | CT |
Other providers in New Preston Marble Dale, CT
All providers in New Preston Marble Dale, CT · 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 Aug 19, 2023. 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.
- 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.