Individual provider Active NPI

Tomasz G Michalewski, APRN

  • Acute Care Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1588606792
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
003275 Issued in CT
Practice address
114 Woodland St
Hartford, CT 06105-1208
Phone
(860) 714-4001
NPI assigned
Jun 12, 2006
Last updated
Jun 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 003275 CT Primary

Addresses

Primary practice location

114 Woodland St
Hartford, CT 06105-1208

Mailing address

116 High St
Portland, CT 06480-1645
Phone (203) 430-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060621000315 CT Practitioner - Nurse Practitioner 9638181357 Reassigns benefits to 2 organizations
I20240829002831 MA Practitioner - Nurse Practitioner 9638181357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians
Middlesex HospitalGroup PAC ID 5092611731, shared by 7 NPIs, 231 clinicians

Practice addresses (Care Compare)

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

28 Crescent St
Middletown, CT 06457-3654

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003275CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Oct 8, 2013 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Henry Heywood Memorial Hospital Acute Care Current Accepting new patients
Athol Memorial Hospital Incorporated Acute Care CurrentSince Jul 1, 2024 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Middlesex Hospital CurrentSince Oct 8, 2013 Accepting new patients
Middlesex Hospital Acute Care CurrentSince Jan 1, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

2033 Main St
Athol, MA 01331
Phone (978) 249-3511

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

Interoperability endpoints

  • Direct secure messaging: tmichalewski18004@middlesexhealthprd.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1588606792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HIGH ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801645",
            "telephone_number": "203-430-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-714-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALEWSKI",
        "first_name": "TOMASZ",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "003275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.