Individual provider Active NPI

Elzbieta Piekarz-Dyjak, MD

  • Family Medicine Physician
  • New Britain, CT
National Provider Identifier
1598864217
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
046455 Issued in CT
Practice address
85 Lafayette Street
Community Health Center, Inc.
New Britain, CT 06051
Phone
(860) 224-3642
Fax
(860) 224-2760
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017640 ME
Family Medicine Physician 207Q00000X 046455 CT Primary

Addresses

Primary practice location

85 Lafayette Street
Community Health Center, Inc.
New Britain, CT 06051

Mailing address

575 Main St FL 2
Community Health Center, Inc.
Middletown, CT 06457-2845
Phone (860) 347-6971

Other practice location 1

6 Northwestern Dr Ste 201
Bloomfield, CT 06002-3416
Phone (860) 242-6297

Other identifiers 2

IdentifierTypeStateIssuer
008004591MedicaidCT
004236346MedicaidCT

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
I20100519000008 CT Practitioner - Family Practice 7618055575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

462 Queen St
Southington, CT 06489-1801
Phone (860) 276-5144

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046455CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Community Health Center Inc CurrentSince Jan 1, 2013 Accepting new patients
Community Health Center Inc Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Prohealth Physicians PC Family Medicine CurrentSince Nov 7, 2022 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

6 Northwestern Dr
Ste 201
Bloomfield, CT 06002
Phone (860) 242-1983

575 Main St
Ste 2
Middletown, CT 06457

85 Lafayette St
New Britain, CT 06051
Phone (860) 224-3642

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

462 Queen St
Ste 301
Southington, CT 06489
Phone (860) 621-6704

462 Queen St
Southington, CT 06489
Phone (860) 276-5144

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: elzbieta.piekarz-dyjak@xdr.hhchealthdirect.org
  • Direct secure messaging: elzbieta.piekarz-dyjak.npi1598864217.phpct@direct.optumcare.masshiway.net

Organizations & group practices 5

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 5

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1598864217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MAIN ST FL 2",
            "address_2": "COMMUNITY HEALTH CENTER, INC.",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572845",
            "telephone_number": "860-347-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LAFAYETTE STREET",
            "address_2": "COMMUNITY HEALTH CENTER, INC.",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "06051",
            "telephone_number": "860-224-3642",
            "fax_number": "860-224-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Northwestern Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023416",
            "country_code": "US",
            "telephone_number": "860-242-6297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIEKARZ-DYJAK",
        "first_name": "ELZBIETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "017640",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "046455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008004591",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236346",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.