Individual provider Active NPI

Stephen J Siegel, MD

  • Family Medicine Physician
  • Cromwell, CT
National Provider Identifier
1376570168
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
039774 Issued in CT
Practice address
70 Shunpike Rd
Cromwell, CT 06416
Phone
(860) 358-5280
Fax
(860) 358-8650
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 039774 CT Primary

Addresses

Primary practice location

70 Shunpike Rd
Cromwell, CT 06416

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4870

Other identifiers 1

IdentifierTypeStateIssuer
1397745MedicaidCT

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
I20100204000443 CT Practitioner - Family Practice 4587707187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040

28 Crescent St
Middletown, CT 06457-3654

80 Shunpike Rd
Unit 301
Cromwell, CT 06416-4402
Phone (860) 358-5020

Hospital & facility affiliations

  • Middlesex Health Care at Home and Hospice Program Home health agency, Middletown, CT, CCN 077086
  • Nurses at Home Inc Home health agency, Avon, CT, CCN 077273
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Middlesex Health Care at Home & Hospice Program Hospice, Middletown, CT, CCN 071522
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Pilgrim Manor Nursing home, Cromwell, CT, CCN 075306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc Family Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

70 Shunpike Rd
Cromwell, CT 06416
Phone (860) 358-5280

80 Shunpike Rd
Unit 301
Cromwell, CT 06416
Phone (860) 358-5020

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: ssiegel9708@middlesexhealthprd.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1376570168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-4870",
            "fax_number": "860-358-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SHUNPIKE RD",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "06416",
            "telephone_number": "860-358-5280",
            "fax_number": "860-358-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1397745",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

Verify at the official NPI Registry.