Individual provider Active NPI

Alphonse David Altorelli, M.D.

  • Internal Medicine Physician
  • New Preston Marble Dale, CT
National Provider Identifier
1336201300
Registry record updated Aug 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022338 Issued in 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
Last updated
Aug 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022338 CT Primary

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

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
I20080317000007 CT Practitioner - Internal Medicine 0840375846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022338CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alphonse D. Altorelli, M.D., P.C. Internal Medicine CurrentSince Oct 10, 1986 Accepting new patients

Locations

125 New Milford Tpke
New Preston Marble Dale, CT 06777
Phone (860) 868-7318

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCIAD/Endpoint/DHCIAD

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692403200000",
    "number": "1336201300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEW MILFORD TPKE",
            "city": "NEW PRESTON MARBLE DALE",
            "state": "CT",
            "postal_code": "067771703",
            "telephone_number": "860-868-7318",
            "fax_number": "860-868-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NEW MILFORD TPKE",
            "city": "NEW PRESTON MARBLE DALE",
            "state": "CT",
            "postal_code": "067771703",
            "telephone_number": "860-868-7318",
            "fax_number": "860-868-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTORELLI",
        "first_name": "ALPHONSE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-08-19",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "022338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Preston Marble Dale, CT

Sources for this page

Verify at the official NPI Registry.