Howard M Regenbogen, MD
Individual provider Active NPI Gastroenterology Physician · Torrington, CT
NPI 1497748651 · NPPES record last updated Mar 3, 2015
Key facts
- NPI
- 1497748651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 023919 (CT)
- Practice address
- 245 Alvord Park Rd
BLDG B
Torrington, CT 06790-3493 - Phone
- (860) 496-0455
- Fax
- (860) 496-2793
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023919 | CT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Litchfield County Gastroenterology Associates, LLC | Gastroenterology | Past |
Accepting new patients |
Interoperability endpoints
- howard.regenbogen@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 023919 | CT | Yes |
Addresses
Primary practice location
245 Alvord Park Rd
BLDG B
Torrington, CT 06790-3493
Mailing address
2139 Silas Deane Hwy
Rocky Hill, CT 06067-2336
Phone (860) 257-4131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001239193 | Medicaid | CT |
Other providers in Torrington, CT
- Joanne C Raspanti
- Debra Ravlin
- Gianna Reese
- Jennie Reese
- Macie Marie Regan
- Emily Reller
- Jessica Repass
- Resource Anesthesiology Associates of CT PC
- Responselink of Hartford LLC
- Jay Levin Reynolds
All providers in Torrington, CT · Gastroenterology 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 Mar 3, 2015. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.