Carissa Monterroso, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

063742 Issued in CT

Practice address

263 Farmington Ave
Farmington, CT 06032-1956

Phone

(866) 679-4477

NPI assigned

Apr 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Hospital of Central Connecticut at New Britain General and BradleyGroup PAC ID 6507776564, 396 clinicians

Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians

Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
• The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Merit-based Incentive Payment System (MIPS)

Final score

90.42 of 100Reported as group

Quality

83.36

Promoting interoperability

100

Improvement activities

40

Cost

75.9

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as group

Quality

83.66

Promoting interoperability

100

Improvement activities

40

Cost

66.78

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 and National Provider Directory roles.

• Hartford Healthcare Medical Group Specialists, PLLC

  • Surgery Physician
  • Hartford, CT
  • NPI 1023584216
  Medicare reassignment Care Compare group NPD
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1154425288
  Medicare reassignment Care Compare group NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  • Hospitalist Physician
  • New Britain, CT
  • NPI 1063461481

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hartford Healthcare Medical Group Specialists LLC

  • Customized Equipment (DME)
  • Groton, CT
  • NPI 1295367068
  NPD
• Midstate Medical Center

  • Psychiatric Hospital Unit
  • Meriden, CT
  • NPI 1316022718
  NPD
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1427007848
  NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  • Psychiatric Hospital Unit
  • New Britain, CT
  • NPI 1992867006
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Britain General Hospital

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1548225360
  Care Compare affiliation
• The Hospital of Central Connecticut at New Britain General and Bradley

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1053477075
  Care Compare affiliation

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1639598154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N MOUNTAIN RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060534325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321956",
            "telephone_number": "866-679-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERROSO",
        "first_name": "CARISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "63742",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "063742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hooman Momtazi, DDS
• Dawn S Monahan, APRN, BC
• Jean-Marie Monroe-Lynch, LCSW
• Holly-Lyn Monroe, LMFT
• Maritza Montanez, MD
• Jose Antonio Montes-Rivera
• Jairo Mauricio Montezuma- Rusca, MD
• Geoff Montgomery, NBCHWC
• Rachel Moody, MD
• Moon Poppy Psychotherapy LLC

• Internal Medicine Physician in Farmington, CT
• Providers in Farmington, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.