Active NPI
Robert Lawrence Wenick, M.D.
- Internal Medicine Physician
- Bethel, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 026622
- Practice address
- 2 Elizabeth St
Bethel, CT 06801-2100 - Phone
- (203) 791-2221
- Fax
- (203) 791-0682
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 026622 | CT | Primary |
Addresses
Primary practice location
2 Elizabeth St
Bethel, CT 06801-2100
Mailing address
2 Elizabeth St
Bethel, CT 06801-2100
Phone (203) 791-2221
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-5814
950 Yale Ave
Wallingford, CT 06492-1858
Phone (203) 265-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026622 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Internal Medicine | Current | Accepting new patients |
Locations
2 Elizabeth St
Unit 111
Bethel, CT 06801
2 Elizabeth St
Bethel, CT 06801
Phone (203) 791-2221
2 Elizabeth St
#111
Bethel, CT 06801
Phone (203) 791-2221
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- robert.wenick.npi1508820598.phpct@direct.optumcare.masshiway.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1508820598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ELIZABETH ST",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012100",
"telephone_number": "203-791-2221",
"fax_number": "203-791-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ELIZABETH ST",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012100",
"telephone_number": "203-791-2221",
"fax_number": "203-791-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENICK",
"first_name": "ROBERT",
"middle_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "026622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.