Alfredo Luis Axtmayer, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

022215 Issued in CT

Practice address

8 Research Pkwy
Wallingford, CT 06492-1929

Phone

(203) 265-9122

Fax

(203) 265-9159

NPI assigned

Nov 15, 2005

Last updated

Mar 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alfredo L. Axtmayer M.D. P.C.

  • Orthopaedic Surgery Physician
  • Wallingford, CT
  • NPI 1740481514
  NPD Authorized official
• Docaxt, Inc

  • Orthopaedic Surgery Physician
  • Wallingford, CT
  • NPI 1659816627
  Authorized official Same address or phone
• Comprehensive Orthopedics & Musculoskeletal Care LLC

  • Orthopaedic Surgery Physician
  • Wallingford, CT
  • NPI 1790844330
  NPD (past)
• Hartford Healthcare Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
  • NPI 1720140221
  NPD (past)
• Midstate Medical Group, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Meriden, CT
  • NPI 1356361315
  NPD (past)
• Midstate Medical Group, PC

  • Internal Medicine Physician
  • Southington, CT
  • NPI 1427089598

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1598747602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RESEARCH PKWY",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921929",
            "telephone_number": "203-265-9122",
            "fax_number": "203-265-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RESEARCH PKWY",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921929",
            "telephone_number": "203-265-9122",
            "fax_number": "203-265-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTMAYER",
        "first_name": "ALFREDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "022215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "0045604",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE ID #",
            "identifier": "783182",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "P1279064",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID #",
            "identifier": "010022215CT07",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004239176",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID #",
            "identifier": "2V3535",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Jared Assael, MD
• Neslyne Belinda Augustin, MD
• Karen E Austin, PT
• Authentically You Counseling and Arts LLC
• Alyssa Jeannette Axelrod, LCSW
• Alexander Baaklini, DO
• Back on Course LLC
• Balanced Life Counseling LLC
• Balanced Nutrition LLC
• Rebecca Balemian, RD CDN

• Orthopaedic Surgery Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.