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

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (125 clinicians)

Practice addresses (Care Compare)

111 Wakelee Ave
Ansonia, CT 06401-1151
Phone (203) 308-2781

Hospital & facility affiliations

  • Griffin Hospital Hospital · Derby, CT · CCN 070031

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 IDStateProvider typePAC IDDetails
I20250123000577 CT Practitioner - Internal Medicine 7810426673 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79984CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Faculty Physicians, Inc. Internal Medicine Current
since Jan 20, 2025
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

  • Direct secure messaging: veronica.balbuena.1@1323.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Ansonia, CT · Internal Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.