Veronica Altagracia Balbuena Hurtado, MD
Individual provider Active NPI Internal Medicine Physician · Ansonia, CT
NPI 1700522703 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1700522703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 79984 (CT)
- Practice address
- 111 Wakelee Ave
Ansonia, CT 06401-1151 - Phone
- (203) 308-2781
- Fax
- (203) 308-2726
- NPI assigned
- May 11, 2022
- Reactivated
- Dec 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Griffin Faculty Physicians Inc
Practice addresses (Care Compare)
111 Wakelee Ave
Ansonia, CT 06401-1151
Phone (203) 308-2781
Hospital & facility affiliations
- Griffin Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250123000577 | CT | Practitioner - Internal Medicine | 7810426673 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79984 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Faculty Physicians, Inc. | Internal Medicine | Current |
Accepting new patients |
Locations
111 Wakelee Ave
Ansonia, CT 06401
Phone (203) 308-2781
67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699
130 Division St
Derby, CT 06418
Phone (203) 732-1330
300 Seymour Ave
Ste 203B
Derby, CT 06418
Phone (203) 516-5303
Interoperability endpoints
- veronica.balbuena.1@1323.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79984 | CT | Yes |
Addresses
Primary practice location
111 Wakelee Ave
Ansonia, CT 06401-1151
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-7327
Other practice location 1
130 Division Street
Griffin Hospital
Derby, CT 06418
Phone (203) 732-7327
Other providers in Ansonia, CT
- Lisa M Artache
- Gabrielle Attolino
- Susan R Babenco
- Bindu Badlani
- Audrey Baehr
- Daiana Alves Baptista-Jean
- Behavior Analytic Services of Connecticut, LLC
- Kelly Bennett
- Kimberly Benson
- Best Vision LLC
All providers in Ansonia, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.