Individual provider Active NPI

Peter J. Doelger, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1427153352
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
030259 Issued in CT
Practice address
85 Seymour St
Suite 1019
Hartford, CT 06106-5501
Phone
(860) 246-4029
Fax
(860) 240-7072
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 030259 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 1019
Hartford, CT 06106-5501

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 258-3480

Other identifiers 1

IdentifierTypeStateIssuer
00130259601MedicaidCT

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
I20100812000751 CT Practitioner - Obstetrics/Gynecology 5991886053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

533 Cottage Grove Rd
Bloomfield, CT 06002-3155
Phone (860) 258-3480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030259CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Oct 31, 2010 Accepting new patients
Starling Physicians, PLLC Obstetrics & Gynecology CurrentSince Aug 7, 1996 Accepting new patients
Starling Physicians PLLC CurrentSince Aug 7, 1996 Accepting new patients
Hartford Hospital Obstetrics & Gynecology CurrentSince Oct 31, 2010 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820

85 Seymour St
Ste 1019
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

100 Retreat Ave
Hartford, CT 06106
Phone (860) 244-0148

2110 Silas Deane Hwy
Rocky Hill, CT 06067

1210 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 721-5731

1260 Silas Deane Hwy
Ste 102B
Wethersfield, CT 06109
Phone (860) 241-0700

Interoperability endpoints

  • Direct secure messaging: peter.doelger@xdr.hhchealthdirect.org

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1427153352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672313",
            "telephone_number": "860-258-3480",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 1019",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-246-4029",
            "fax_number": "860-240-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOELGER",
        "first_name": "PETER",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "030259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00130259601",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.