Individual provider Active NPI

John A Pagnozzi, MD

  • Surgery Physician
  • Norwich, CT
National Provider Identifier
1598864563
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
028396 Issued in CT
Practice address
86 New London Tpke
Norwich, CT 06360-2616
Phone
(860) 887-6753
Fax
(860) 887-7737
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 028396 CT Primary
Colon & Rectal Surgery Physician 208C00000X 028396 CT

Addresses

Primary practice location

86 New London Tpke
Norwich, CT 06360-2616

Mailing address

86 New London Tpke
Norwich, CT 06360-2616
Phone (860) 887-6753

Other identifiers 3

IdentifierTypeStateIssuer
001283960MedicaidCT
010028396CT04OtherCTBCBS
110029291OtherCTRAILROAD

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
I20040903000006 CT Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1254306400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

86 New London Tpke
Norwich, CT 06360-2616
Phone (860) 887-6753

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028396CTMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John a Pagnozzi MD LLC Surgery CurrentSince Jun 14, 2004 Accepting new patients
Paul H Deutsch MD RPH LLC Past Accepting new patients

Locations

86 New London Tpke
#2
Norwich, CT 06360

86 New London Tpke
Norwich, CT 06360
Phone (860) 887-6753

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBAAA

Organizations & group practices 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1598864563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 NEW LONDON TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602616",
            "telephone_number": "860-887-6753",
            "fax_number": "860-887-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 NEW LONDON TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602616",
            "telephone_number": "860-887-6753",
            "fax_number": "860-887-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGNOZZI",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "028396",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": "028396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001283960",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010028396CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110029291",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.