Individual provider Active NPI

Flordeliza Palazzolo, MD

  • Pediatrics Physician
  • Ellington, CT
National Provider Identifier
1417919358
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
028627 Issued in CT
Practice address
175 West Rd Ste 200
Ellington, CT 06029-3730
Phone
(860) 375-9122
NPI assigned
Apr 5, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 028627 CT Primary

Addresses

Primary practice location

175 West Rd Ste 200
Ellington, CT 06029-3730

Mailing address

175 West Rd Ste 200
Ellington, CT 06029-3730
Phone (860) 375-9122

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
I20240406000244 CT Practitioner - Pediatric Medicine 6800234071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

175 W Rd
Ellington, CT 06029-3730
Phone (860) 648-4480

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028627CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince May 15, 2024 Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

175 West Rd
Ellington, CT 06029
Phone (860) 375-5141

175 West Rd
Ste 200
Ellington, CT 06029
Phone (860) 375-9122

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

Interoperability endpoints

  • Direct secure messaging: flordelizapalazzolo@mpp.allscriptsdirect.net

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, 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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1417919358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WEST RD STE 200",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293730",
            "telephone_number": "860-375-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WEST RD STE 200",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293730",
            "telephone_number": "860-375-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZOLO",
        "first_name": "FLORDELIZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "028627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellington, CT

Sources for this page

Verify at the official NPI Registry.