Individual provider Active NPI

Charlecinth Roberts, MD

  • Family Medicine Physician
  • Hartford, CT
National Provider Identifier
1700105624
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52104 Issued in CT
Practice address
675 Tower Ave
Hartford, CT 06112-1273
Phone
(860) 714-2913
Fax
(860) 714-8988
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52104 CT Primary

Addresses

Primary practice location

675 Tower Ave
Hartford, CT 06112-1273

Mailing address

675 Tower Ave
Hartford, CT 06112-1273
Phone (860) 714-2913

Other identifiers 1

IdentifierTypeStateIssuer
052104OtherCTSTATE LICENSE

Other names 1

  • Charlecinth Yennie Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charlecinth.roberts.1@27673.direct.athenahealth.com Direct

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
I20130815000285 CT Practitioner - Family Practice 0547402877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Medical Associates 2 PCGroup PAC ID 3779486345, 43 clinicians

Practice addresses (Care Compare)

675 Tower Ave
Suite 401
Hartford, CT 06112-1272
Phone (860) 714-2913

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52104CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Medical Associates 2 PC Family Medicine CurrentSince Aug 12, 2013 Accepting new patients
Collins Medical Associates 2 PC CurrentSince Aug 12, 2013 Accepting new patients
Johnson Professional Associates, PC Family Medicine Past Accepting new patients

Locations

699A Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-0034

675 Tower Ave
Ste 401
Hartford, CT 06112
Phone (860) 714-2913

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

Interoperability endpoints

  • Direct secure messaging: cyennie3172942@direct.trinity-health.org
  • Direct secure messaging: charlecinth.roberts.1@27673.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27673/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 3

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1700105624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121273",
            "telephone_number": "860-714-2913",
            "fax_number": "860-714-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121273",
            "telephone_number": "860-714-2913",
            "fax_number": "860-714-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHARLECINTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "52104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "052104",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlecinth.roberts.1@27673.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "675 Tower Ave",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061121273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARLECINTH",
            "last_name": "YENNIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.