Active NPI
Cheshire Endocrinology & Internal Medicine PC
- Endocrinology, Diabetes & Metabolism Physician
- Cheshire, CT
National Provider Identifier
1467759753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 019485
- Legal business name
- CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE PC
- Practice address
- 577 S Main St
Cheshire, CT 06410-3146 - Phone
- (203) 272-1619
- Fax
- (203) 272-1610
- NPI assigned
- Feb 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard D Kayne, MD
- Title
- President
- Phone
- (203) 272-1619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 019485 | CT | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 019485 | CT | Primary |
Addresses
Primary practice location
577 S Main St
Cheshire, CT 06410-3146
Mailing address
577 S Main St
Cheshire, CT 06410-3146
Phone (203) 272-1619
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01001948CT07 | Other | CT | ANTHEM BLUE CROSS BLUE SHIELD |
| OV7469 | Other | CT | HEALTH NET |
| 0959728009 | Other | CT | CIGNA HEALTH |
| 1051367 | Other | AETNA PC | |
| P918440 | Other | CT | OXFORD HEALTH |
| 710126 | Other | CT | CONNECTICARE |
| 2203200 | Other | CT | AETNA ENDOCRINOLOGY SPECIALIST |
| 110200086 | Other | CT | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
577 S Main St
Cheshire, CT 06410
Phone (203) 272-1619
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Cheshire, CT
- NPI 1982709630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298332800000",
"number": "1467759753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103146",
"telephone_number": "203-272-1619",
"fax_number": "203-272-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103146",
"telephone_number": "203-272-1619",
"fax_number": "203-272-1610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A",
"authorized_official_last_name": "KAYNE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-272-1619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "019485",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CT",
"license": "019485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "01001948CT07",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "OV7469",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH",
"identifier": "0959728009",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PC",
"identifier": "1051367",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "P918440",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "710126",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ENDOCRINOLOGY SPECIALIST",
"identifier": "2203200",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110200086",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.