Individual provider Active NPI

Kimberly Anne Caprio, MD

  • Surgery Physician
  • Hartford, CT
National Provider Identifier
1376789610
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
50004 Issued in CT
Practice address
95 Woodland St
Breast Center
Hartford, CT 06105-1230
Phone
(860) 714-6318
Fax
(860) 714-9990
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 50004 CT Primary

Addresses

Primary practice location

95 Woodland St
Breast Center
Hartford, CT 06105-1230

Mailing address

95 Woodland Street
Breast Center
Hartford, CT 06150
Phone (860) 714-6318

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
I20120724000021 CT Practitioner - General Surgery 6305002106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

399 Farmington Ave
Lowr Level
Farmington, CT 06032-1936
Phone (860) 278-0079

538 Litchfield St
Torrington, CT 06790-6669

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50004CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 3, 2019 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 6, 2012 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 6, 2012 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Sep 3, 2019 Accepting new patients

Locations

100 Hazard Ave
Ste 206
Enfield, CT 06082
Phone (860) 696-4275

399 Farmington Ave
Ste 200
Farmington, CT 06032
Phone (860) 524-4388

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

95 Woodland St
Hartford, CT 06105
Phone (860) 677-6143

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

220 Kennedy Dr
Ste 2
Torrington, CT 06790
Phone (860) 496-4190

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

Interoperability endpoints

  • Direct secure messaging: kimberly.caprio@xdr.hhchealthdirect.org

Organizations & group practices 4

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": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1376789610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOODLAND STREET",
            "address_2": "BREAST CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06150",
            "telephone_number": "860-714-6318",
            "fax_number": "860-714-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WOODLAND ST",
            "address_2": "BREAST CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051230",
            "telephone_number": "860-714-6318",
            "fax_number": "860-714-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRIO",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "50004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.