NPIMap

Individual provider Active NPI

Marcin Jaremko, M.D.

  • Family Medicine Physician
  • Avon, CT
National Provider Identifier
1396943080
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
049559 Issued in CT
Practice address
339 W Main St
Avon, CT 06001-4322
Phone
(860) 696-2150
Fax
(860) 695-2160
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 049559 CT Primary
Family Medicine Physician 207Q00000X 53584-020 WI

Addresses

Primary practice location

339 W Main St
Avon, CT 06001-4322

Mailing address

20 Knoll LN
Avon, CT 06001-2921
Phone (860) 404-2273

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
I20110823000989 CT Practitioner - Family Practice 6103012331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

339 W Main St
Avon, CT 06001-4322

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • Visiting Nurse & Hospice of Litchfield County, Inc. Home health agency, Winsted, CT, CCN 077089
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • McLean Home Care and Hospice Home health agency, Simsbury, CT, CCN 077166
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049559CTMDFamily Medicine Physician
53584-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Aug 15, 2018 Accepting new patients
Prohealth Physicians PC Family Medicine PastSince Aug 22, 2011 Accepting new patients

Locations

339 W Main St
Avon, CT 06001
Phone (860) 696-2150

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: marcin.jaremko@xdr.hhchealthdirect.org

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 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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1396943080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KNOLL LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012921",
            "telephone_number": "860-404-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014322",
            "telephone_number": "860-696-2150",
            "fax_number": "860-695-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAREMKO",
        "first_name": "MARCIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "049559",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "53584-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.