Benoit D Tano, MD, PHD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

M4963 Issued in TX

Practice address

622 Hebron Ave
Glastonbury, CT 06033-2421

Phone

(860) 659-8904

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, CT2 enrollments

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 2

Specialty

Allergy/Immunology

Education

Ohio State University College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Associates of Hartford, PCGroup PAC ID 0648173500, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tano.benoit.033.0090427@avh.meditab.direct-ci.com

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.

• Allergy Associates of Hartford, PC

  • Allergy Physician
  • Glastonbury, CT
  • NPI 1003937988
  Medicare reassignment Care Compare group NPD
• B Tano, M.D., P.a.

  • Allergy & Immunology (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1053570119
  NPD (past) Authorized official
• B Tano, M.D., P.a.

  • Allergy & Immunology (Internal Medicine) Physician
  • Tyler, TX
  • NPI 1063679918
  NPD (past) Authorized official
• Dr. Benoit Tano, LTD

  • Allergy Physician
  • Grand Forks, ND
  • NPI 1467710582
  NPD (past) Authorized official
• Prospect Manchester Hospital, Inc.

  • Health Educator
  • South Windsor, CT
  • NPI 1821695222
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1457419616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332421",
            "telephone_number": "860-659-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332421",
            "telephone_number": "860-659-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANO",
        "first_name": "BENOIT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "ND",
            "license": "PT11501",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "M4963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M4963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Tamer, RPH
• Joanne Tan, LCSW, LICSW
• Rajnish Tandon, M.D.
• Zhihui Tang, D.D.S.
• Christopher A Tanner, PHARMD RPH
• Tanya Aldrich LCSW, LLC
• Amina Tariq, PT
• Beth Tartaglione, NP
• Magdalena Z Tauber, DMD
• Jamie Taylor, APRN

• Allergy & Immunology Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Allergy & Immunology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.