NPIMap

Individual provider Active NPI

William Henry Perucki, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Hartford, CT
National Provider Identifier
1346669967
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
63639 Issued in CT
Practice address
79 Retreat Ave
Hartford, CT 06106-2527
Phone
(860) 545-0200
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 63639 CT Primary
Internal Medicine Physician 207R00000X 63639 CT
Cardiovascular Disease Physician 207RC0000X 63639 CT
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

79 Retreat Ave
Hartford, CT 06106-2527

Mailing address

263 Farmington Ave
Farmington, CT 06032-1956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119001521 CT Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264752369 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consulting Cardiologists PCGroup PAC ID 7113916149, 23 clinicians
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

1062 Barnes Rd
Suite 300
Wallingford, CT 06492-2576
Phone (203) 265-9831

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.73 of 100Reported as group
Quality
68.37
Promoting interoperability
100
Improvement activities
40
Cost
76.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Midstate Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Nov 5, 2019 Accepting new patients
Midstate Medical Center Current Accepting new patients
Consulting Cardiologists, P.C. Cardiovascular Disease CurrentSince Jun 1, 2023 Accepting new patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
Hartford Hospital CurrentSince Nov 5, 2019 Accepting new patients

Locations

100 Simsbury Rd
Ste 202
Avon, CT 06001
Phone (860) 242-6633

263 Farmington Ave
Farmington, CT 06032
Phone (860) 679-1706

305 Western Blvd
Ste 100
Glastonbury, CT 06033
Phone (860) 525-1532

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

79 Retreat Ave
Hartford, CT 06106
Phone (860) 545-0200

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

1062 Barnes Rd
Ste 300
Wallingford, CT 06492
Phone (203) 265-9831

433 S Main St
Ste 109
West Hartford, CT 06110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.perucki.1@6291.direct.athenahealth.com

Organizations & group practices 7

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

Hospital & facility affiliations 10

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1346669967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062527",
            "telephone_number": "860-545-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUCKI",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2023-12-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CT",
            "license": "63639",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "63639",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "63639",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.