Individual provider Active NPI

Vincent Maranan Varilla, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hartford, CT
National Provider Identifier
1568750180
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
54433 Issued in CT
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

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629000521 CT Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7214247345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

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

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 11, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 1, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Geriatric Medicine CurrentSince Jul 11, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.