Individual provider Active NPI

Jonathan Uhl

  • Pediatrics Physician
  • Cheshire, CT
National Provider Identifier
1366973679
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
64972 Issued in CT
Practice address
435 Highland Ave Ste 110
Cheshire, CT 06410-2583
Phone
(203) 272-0396
NPI assigned
Mar 27, 2017
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 64972 CT Primary

Addresses

Primary practice location

435 Highland Ave Ste 110
Cheshire, CT 06410-2583

Mailing address

435 Highland Ave Ste 110
Cheshire, CT 06410-2583
Phone (203) 272-0396

Other practice location 1

599 Farmington Ave
Farmington, CT 06032-2381
Phone (860) 837-5171

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juhl17589@direct.connecticutchildrens.org

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
I20220203000572 CT Practitioner - Pediatric Medicine 8325319411 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64972CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Dec 1, 2021 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Dec 1, 2021 Accepting new patients
Pediatric Associates of Cheshire PC Pediatrics PastSince Jun 28, 2020 Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

599 Farmington Ave
Farmington, CT 06032
Phone (860) 284-4945

599 Farmington Ave
Ste 202
Farmington, CT 06032
Phone (860) 837-5170

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1366973679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HIGHLAND AVE STE 110",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102583",
            "telephone_number": "203-272-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HIGHLAND AVE STE 110",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102583",
            "telephone_number": "203-272-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322381",
            "country_code": "US",
            "telephone_number": "860-837-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UHL",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "64972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juhl17589@direct.connecticutchildrens.org",
            "affiliation": "N",
            "address_1": "599 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060322381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.