Individual provider Active NPI

Lawrence M Pareles, M.D.

  • Cardiovascular Disease Physician
  • Glastonbury, CT
National Provider Identifier
1710974738
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
020724 Issued in CT
Practice address
703 Hebron Ave
Glastonbury, CT 06033-5000
Phone
(860) 659-8830
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 020724 CT Primary

Addresses

Primary practice location

703 Hebron Ave
Glastonbury, CT 06033-5000

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 258-3470

Other identifiers 2

IdentifierTypeStateIssuer
83865OtherCTAETNA
001207240MedicaidCT

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
I20100904000014 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 3274670039 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020724CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC Cardiovascular Disease CurrentSince Jul 1, 2013 Accepting new patients
Starling Physicians PLLC CurrentSince Jul 1, 2013 Accepting new patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease CurrentSince Apr 1, 1989 Accepting new patients
Consulting Cardiologists, P.C. Cardiovascular Disease PastSince Jul 1, 2001 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Cardiac Care Associates PC Cardiovascular Disease Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

703 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-8830

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

85 Seymour St
Ste 805
Hartford, CT 06106
Phone (860) 249-9175

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

2110 Silas Deane Hwy
Rocky Hill, CT 06067

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1710974738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672313",
            "telephone_number": "860-258-3470",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335000",
            "telephone_number": "860-659-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARELES",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "020724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "83865",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001207240",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.