Individual provider Active NPI

Julia Iole Dombrowski Vitali

  • Family Medicine Physician
  • Manchester, CT
National Provider Identifier
1508276346
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56805 Issued in CT
Practice address
315 E Center St
Manchester, CT 06040-5251
Phone
(860) 533-0179
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 56805 CT Primary

Addresses

Primary practice location

315 E Center St
Manchester, CT 06040-5251

Mailing address

315 E Center St
Manchester, CT 06040-4131
Phone (860) 533-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20171109002359 CT Practitioner - Family Practice 1850617341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Collaborative Natural Health Partners, LLCGroup PAC ID 4688169683, 5 clinicians

Practice addresses (Care Compare)

315 E Ctr St
Manchester, CT 06040-5251
Phone (860) 533-0179

Hospital & facility affiliations

  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56805CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Natural Health Partners, LLC Family Medicine CurrentSince Jan 6, 2026 Accepting new patients
Medical Access P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. Family Medicine CurrentSince Sep 18, 2017 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

1 Northwestern Dr
Ste 202
Bloomfield, CT 06002
Phone (860) 233-8589

131 New London Tpke
Ste 323
Glastonbury, CT 06033
Phone (860) 837-0204

130 Hartford Rd
Manchester, CT 06040
Phone (860) 533-4673

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

29 Haynes St
Ste D
Manchester, CT 06040
Phone (860) 533-4678

315 E Center St
Manchester, CT 06040
Phone (860) 533-0179

107 Wilcox Rd
Ste 103
Stonington, CT 06378
Phone (860) 533-0179

244 Farms Village Rd
Ste L
West Simsbury, CT 06092

Interoperability endpoints

  • Direct secure messaging: juliavitali@mpp.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1508276346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-533-4679",
            "fax_number": "860-645-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405251",
            "telephone_number": "860-533-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALI",
        "first_name": "JULIA",
        "middle_name": "IOLE DOMBROWSKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "56805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.