Organization Active NPI

Federal Hill Surgical Group, PC

  • Surgery Physician
  • Bristol, CT
National Provider Identifier
1548297849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
026950 Issued in CT
Legal business name
FEDERAL HILL SURGICAL GROUP, PC
Practice address
291 Queen St
Bristol, CT 06010-6379
Phone
(860) 583-1845
NPI assigned
Jun 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ovleto W. Ciccarelli, MD
Title
President
Phone
(860) 583-1845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 026950 CT Primary

Addresses

Primary practice location

291 Queen St
Bristol, CT 06010-6379

Mailing address

291 Queen St
Bristol, CT 06010-6379
Phone (860) 583-1845

Other identifiers 5

IdentifierTypeStateIssuer
OR2818OtherCTHEALTHNET
755038OtherCTCONNECTICARE
00126950600OtherCTBLUE CARE FAMILY
707249OtherCTAETNA-US HEALTH
HAS048OtherCOOXFORD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548297849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 QUEEN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106379",
            "telephone_number": "860-583-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 QUEEN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106379",
            "telephone_number": "860-583-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL HILL SURGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CICCARELLI",
        "authorized_official_first_name": "OVLETO",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-583-1845",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "026950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OR2818",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "755038",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY",
            "identifier": "00126950600",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-US HEALTH",
            "identifier": "707249",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HAS048",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.