Individual provider Active NPI

Robert John Fitzpatrick, D.O.

  • Internal Medicine Physician
  • Farmington, CT
National Provider Identifier
1437285129
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
70492 Issued in MA
Practice address
270 Farmington Avenue MC 6210
Farmington, CT 06030-6210
Phone
(860) 679-2893
Fax
(860) 679-1349
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000227 CT
Occupational Medicine Physician 2083X0100X 000227 CT
Internal Medicine Physician 207R00000X 70492 MA Primary

Addresses

Primary practice location

270 Farmington Avenue MC 6210
Farmington, CT 06030-6210

Mailing address

270 Farmington Avenue MC 6210
Farmington, CT 06030-6210
Phone (860) 679-2893

Other identifiers 1

IdentifierTypeStateIssuer
1437285129MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090406000427 MA Practitioner - Family Practice 8527115799 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000227CTMDClinical Social Worker
70492MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Mar 8, 2021 Accepting new patients
Riverbend Medical Group, Inc. Internal Medicine CurrentSince Mar 8, 2021 Accepting new patients
Baystate Medical Practices, Inc Internal Medicine Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1515 Allen St
Springfield, MA 01118
Phone (413) 782-0030

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Organizations & group practices 5

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1437285129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVENUE MC 6210",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060306210",
            "telephone_number": "860-679-2893",
            "fax_number": "860-679-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVENUE MC 6210",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060306210",
            "telephone_number": "860-679-2893",
            "fax_number": "860-679-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000227",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "000227",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "70492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437285129",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.