Individual provider Active NPI

James George Bucci, M.D.

  • Internal Medicine Physician
  • Colchester, CT
National Provider Identifier
1689648222
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39103 Issued in CT
Practice address
199 Old Hartford Rd
Unit #6
Colchester, CT 06415-2739
Phone
(860) 537-2262
Fax
(860) 537-2273
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39103 CT Primary

Addresses

Primary practice location

199 Old Hartford Rd
Unit #6
Colchester, CT 06415-2739

Mailing address

199 Old Hartford Rd
Unit #6
Colchester, CT 06415-2739
Phone (860) 537-2262

Other identifiers 1

IdentifierTypeStateIssuer
001391036MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39103CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Physician Services PC Internal Medicine PastSince Feb 1, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbucci@cimct.gwaydirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1689648222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 OLD HARTFORD RD",
            "address_2": "UNIT #6",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152739",
            "telephone_number": "860-537-2262",
            "fax_number": "860-537-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 OLD HARTFORD RD",
            "address_2": "UNIT #6",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152739",
            "telephone_number": "860-537-2262",
            "fax_number": "860-537-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "JAMES",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "39103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001391036",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.