Individual provider Active NPI

Peter Starratt Romeyn, M.D.

  • Surgery Physician
  • Middletown, CT
National Provider Identifier
1720068406
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
038347 Issued in CT
Practice address
540 Saybrook Rd
Middletown, CT 06457-4711
Phone
(603) 582-8508
Fax
(860) 358-8698
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 038347 CT
Surgical Oncology Physician 2086X0206X 038347 CT
Colon & Rectal Surgery Physician 208C00000X 038347 CT
Surgery Physician 208600000X 038347 CT Primary

Addresses

Primary practice location

540 Saybrook Rd
Middletown, CT 06457-4711

Mailing address

22 Patterson LN
Durham, CT 06422-2418
Phone (860) 349-6941

Other identifiers 1

IdentifierTypeStateIssuer
001383471MedicaidCT

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
I20101215000633 CT Practitioner - General Surgery 2466513486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Vermont College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

14 Jones Hollow Rd
Suite 2
Marlborough, CT 06447-1448
Phone (860) 358-2850

250 Flat Rock PL
Westbrook, CT 06498-3585
Phone (860) 358-3640

28 Crescent St
Middletown, CT 06457-3654

540 Saybrook Rd
Middletown, CT 06457-4711
Phone (860) 358-5120

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038347CTMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc CurrentSince Oct 1, 2015 Accepting new patients
MHS Primary Care, Inc Current Accepting new patients
MHS Primary Care Inc. Surgery CurrentSince Oct 1, 2015 Accepting new patients

Locations

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

520 Saybrook Rd
Middletown, CT 06457
Phone (860) 346-2608

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

520 Saybrook Rd
Ste S100
Middletown, CT 06457
Phone (860) 346-2608

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

540 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-7491

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

Interoperability endpoints

  • Direct secure messaging: promeyn14806@middlesexhealthprd.direct-ci.com

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 1

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1720068406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PATTERSON LN",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064222418",
            "telephone_number": "860-349-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574711",
            "telephone_number": "603-582-8508",
            "fax_number": "860-358-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEYN",
        "first_name": "PETER",
        "middle_name": "STARRATT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "038347",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CT",
            "license": "038347",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": "038347",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "038347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001383471",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.