Individual provider Active NPI

Sean Patrick McGrade, M.D.

  • Internal Medicine Physician
  • Bethel, CT
National Provider Identifier
1346205770
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037838 Issued in CT
Practice address
2 Elizabeth St
Bethel, CT 06801-2100
Phone
(203) 791-2221
Fax
(203) 791-0682
NPI assigned
Apr 19, 2006
Last updated
Jun 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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 037838 CT Primary

Addresses

Primary practice location

2 Elizabeth St
Bethel, CT 06801-2100

Mailing address

2 Elizabeth St
Bethel, CT 06801-2100
Phone (203) 791-2221

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
I20100831000910 CT Practitioner - Internal Medicine 9931223740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-5814

2 Elizabeth St
Bethel, CT 06801-2100
Phone (203) 791-2221

950 Yale Ave
Wallingford, CT 06492-1858
Phone (203) 265-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037838CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients

Locations

2 Elizabeth St
Bethel, CT 06801
Phone (203) 791-2221

2 Elizabeth St
#111
Bethel, CT 06801
Phone (203) 791-2221

2 Elizabeth St
Unit 111
Bethel, CT 06801

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: sean.mcgrade.npi1346205770.phpct@direct.optumcare.masshiway.net

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 8

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1346205770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012100",
            "telephone_number": "203-791-2221",
            "fax_number": "203-791-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012100",
            "telephone_number": "203-791-2221",
            "fax_number": "203-791-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRADE",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "037838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.