Individual provider Active NPI

Patrick F Albergo, M.D.

  • Specialist
  • West Hartford, CT
National Provider Identifier
1407878754
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
029084 Issued in CT
Practice address
639 Park Rd
Suite #100
West Hartford, CT 06107-3443
Phone
(860) 521-9230
Fax
(860) 521-1709
NPI assigned
Jul 24, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 029084 CT Primary
Ophthalmology Physician 207W00000X 029084 CT

Addresses

Primary practice location

639 Park Rd
Suite #100
West Hartford, CT 06107-3443

Mailing address

639 Park Rd
Suite #100
West Hartford, CT 06107-3443
Phone (860) 521-9230

Other identifiers 2

IdentifierTypeStateIssuer
180000344OtherCTPTAN
1290840MedicaidCT

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
I20110912000004 CT Practitioner - Ophthalmology 6406904572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Eye Center, P.C.Group PAC ID 3779536230, 2 clinicians

Practice addresses (Care Compare)

639 Park Rd
Suite 100
West Hartford, CT 06107-3443
Phone (860) 521-9230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029084CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Eye Center, P.C. Ophthalmology CurrentSince Oct 21, 1988 Accepting new patients
Mendelsohn Medical LLC Past Accepting new patients

Locations

639 Park Rd
Ste 100
West Hartfrd, CT 06107
Phone (860) 233-4600

Interoperability endpoints

  • Direct secure messaging: palbergo2388614@direct.trinity-health.org

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1407878754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 PARK RD",
            "address_2": "SUITE #100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073443",
            "telephone_number": "860-521-9230",
            "fax_number": "860-521-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 PARK RD",
            "address_2": "SUITE #100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073443",
            "telephone_number": "860-521-9230",
            "fax_number": "860-521-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERGO",
        "first_name": "PATRICK",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "029084",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "029084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "180000344",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1290840",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.