Individual provider Active NPI

Rosemary Catherine Bontempi, M.D.

  • Internal Medicine Physician
  • Mystic, CT
National Provider Identifier
1346235462
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
030639 Issued in CT
Practice address
200 Sandy Hollow Rd
Mystic, CT 06355-1720
Phone
(860) 572-8911
Fax
(860) 572-7758
NPI assigned
Sep 14, 2005
Last updated
Dec 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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 030639 CT Primary

Addresses

Primary practice location

200 Sandy Hollow Rd
Mystic, CT 06355-1720

Mailing address

200 Sandy Hollow Rd
Mystic, CT 06355-1720
Phone (860) 572-8911

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
I20100923001542 CT Practitioner - Internal Medicine 5799801023

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030639CTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1346235462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SANDY HOLLOW RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551720",
            "telephone_number": "860-572-8911",
            "fax_number": "860-572-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANDY HOLLOW RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551720",
            "telephone_number": "860-572-8911",
            "fax_number": "860-572-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTEMPI",
        "first_name": "ROSEMARY",
        "middle_name": "CATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

Verify at the official NPI Registry.