Individual provider Active NPI

Thao Doran, D.O.

  • Family Medicine Physician
  • Marlborough, CT
National Provider Identifier
1699865063
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051003 Issued in CT
Practice address
14 Jones Hollow Rd
Marlborough, CT 06447-1448
Phone
(860) 295-0436
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

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.

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
I20140130000648 CT Practitioner - Family PracticePractitioner - Internal Medicine 8729089040 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051003CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

14 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 295-8217

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 051003 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

14 Jones Hollow Rd
Marlborough, CT 06447-1448

Mailing address

1206 Storrs Rd # 134
Storrs, CT 06268-2251
Phone (860) 245-1269

Other practice location 1

100 William Shorty Campbell St
Hartford, CT 06106-3401
Phone (860) 952-1701

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1699865063OtherNPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2026.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1699865063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 STORRS RD # 134",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682251",
            "telephone_number": "860-245-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 William Shorty Campbell St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063401",
            "country_code": "US",
            "telephone_number": "860-952-1701",
            "fax_number": "877-483-8412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAN",
        "first_name": "THAO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "051003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699865063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, CT

Sources for this page

Verify at the official NPI Registry.