Petros Tsipouras, MD

Primary specialty

Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X

License

027923 Issued in CT

Practice address

65 Kane St
West Hartford, CT 06119-2110

Phone

(860) 523-6464

Fax

(860) 523-6465

NPI assigned

Jul 1, 2005

Last updated

Jun 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)
• University of Connecticut Health Center

  dba University Physicians

  • General Practice Physician
  • Farmington, CT
  • NPI 1720083769
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1699772962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 KANE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192110",
            "telephone_number": "860-523-6464",
            "fax_number": "860-523-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIPOURAS",
        "first_name": "PETROS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CT",
            "license": "027923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1279231",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Health Corp
• Rachel Leigh Trudell, D.M.D.
• Chinh H Truong, RPH
• Trusted Services LLC
• Alexander CHI-Shun Tsang, M.D.
• Jennifer S Tucker-Mitchell, MSN, APRN, PMHNP-BC
• Elizabeth M Turner, MSW
• Samantha Tynan, PSY.D.
• Dorothy Uhrlass, PH.D.
• Shayna Rose Ull

• Clinical Cytogenetics Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Cytogenetics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.