Patrick Bergamo, MD
Individual provider Active NPI Anesthesiology Physician · Hartford, CT
NPI 1447879176 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1447879176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 77596 (CT)
- Practice address
- 80 Seymour St
Hartford, CT 06102-8000 - Phone
- (860) 545-5000
- NPI assigned
- Apr 13, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Connecticut School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Anesthesia Associates LLC
Practice addresses (Care Compare)
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
- Hartford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917002127 | CT | Practitioner - Anesthesiology | 4082155114 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77596 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Anesthesiology | Current |
Accepting new patients |
Locations
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 77596 | CT | Yes |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06102-8000
Mailing address
99 E River Dr FL 5
East Hartford, CT 06108-7301
Phone (860) 282-4104
Other practice location 1
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3600
Other providers in Hartford, CT
- Ross A Benthien
- Jaquanda Lakia Bentley
- Adrienne L. Bentman
- John Imre Benyei
- Edmond Beqiri
- Joseph Ian Berger
- Jennifer Bergeron
- Daniel Robert Bergin
- Vivien Sara Bergl
- Kristen Bergman-Flores
All providers in Hartford, CT · Anesthesiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.