John M Carbone, MD
Individual provider Active NPI Family Medicine Physician · Durham, CT
NPI 1366487563 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1366487563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 043280 (CT)
- Practice address
- 6 Main St
Durham, CT 06422-2126 - Phone
- (860) 349-1058
- Fax
- (860) 358-8652
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Connecticut School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MHS Primary Care, Inc.
Practice addresses (Care Compare)
154 Main St
Old Saybrook, CT 06475-2373
Phone (860) 358-5280
27 William F Palmer Rd
Moodus, CT 06469-1132
Phone (860) 358-5220
270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040
520 Saybrook Rd
Middletown, CT 06457-4700
80 Shunpike Rd
Unit 301
Cromwell, CT 06416-4402
Phone (860) 358-5020
Hospital & facility affiliations
- Middlesex 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 |
|---|---|---|---|---|
| I20050520000596 | CT | Practitioner - Family Practice | 9335180223 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043280 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Family Medicine | Current |
Accepting new patients |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Middlesex Hospital | Family Medicine | Current |
Accepting new patients |
| MHS Primary Care, Inc | Family Medicine | Current |
Accepting new patients |
Locations
6 Main St
Durham, CT 06422
Phone (860) 349-1058
90 S Main St
Middletown, CT 06457
Phone (860) 358-6300
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040
Interoperability endpoints
- jcarbone9558@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 043280 | CT | Yes |
Addresses
Primary practice location
6 Main St
Durham, CT 06422-2126
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4820
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1432806 | Medicaid | CT |
Other providers in Durham, CT
- Anna Brennan
- Brownstone Psychological Associates, LLC
- Theodore Bruno
- Cade Steven Buckheit
- James Burgess
- Bianca Carrero
- Christy S. Jackson, PH.D., LLC
- Meghan Kennedy Copeland
- Diane Adele Mount Desroches
- Joseph Donadio
All providers in Durham, CT · Family 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 Apr 11, 2017. 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.