Active NPI
Vincent Maranan Varilla, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 54433
- Practice address
- 1000 Asylum Ave
Suite 2112
Hartford, CT 06105-1770 - Phone
- (860) 714-4749
- Fax
- (860) 714-8439
- NPI assigned
- Jul 17, 2011
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 54433 | CT | Primary |
Addresses
Primary practice location
1000 Asylum Ave
Suite 2112
Hartford, CT 06105-1770
Mailing address
73 Waterbury Rd
Prospect, CT 06712-1252
Phone (860) 714-4749
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
- Geriatric Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
73 Waterbury Rd
Prospect, CT 06712-1252
Phone (203) 527-9444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Geriatric Medicine | Current | Accepting new patients |
Locations
1000 Asylum Ave
Ste 2112
Hartford, CT 06105
Phone (860) 714-4749
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
73 Waterbury Rd
Prospect, CT 06712
Phone (203) 527-9130
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- vincet.varilla@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Geriatric Medicine
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1568750180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 WATERBURY RD",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121252",
"telephone_number": "860-714-4749",
"fax_number": "860-714-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "SUITE 2112",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-714-4749",
"fax_number": "860-714-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARILLA",
"first_name": "VINCENT",
"middle_name": "MARANAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-17",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CT",
"license": "54433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.