Individual provider Active NPI

Roy I Sittig, MD

  • Internal Medicine Physician
  • Farmington, CT
National Provider Identifier
1740291376
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
052122 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-6220
Phone
(860) 679-4477
Fax
(860) 679-4474
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052122 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-6220

Mailing address

263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
Phone (860) 679-7503

Other identifiers 1

IdentifierTypeStateIssuer
1740291376MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040728000810 MA Practitioner - HospitalistPractitioner - Internal Medicine 9537139407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of Massachusetts PCGroup PAC ID 4183038359, 84 clinicians

Practice addresses (Care Compare)

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052122CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of Massachusetts PC Internal Medicine CurrentSince Sep 12, 2022 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine Current Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 15, 2013 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Sep 15, 2013 Accepting new patients
Massachusetts Post Acute Medical Services 1 PC PastSince Nov 1, 2022 Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients
Lawrence Anesthesia Services, LLC PastSince Nov 1, 2022 Accepting new patients
VHS Acquisition Subsidiary Number 7 Inc Past Accepting new patients
Cogent Healthcare of Brockton PC Internal Medicine Past Accepting new patients
DHP of Massachusetts, P.C. PastSince Nov 1, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

85 South St
Ware, MA 01082
Phone (413) 967-2201

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

Organizations & group practices 12

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1740291376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060306220",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTIG",
        "first_name": "ROY",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "052122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740291376",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.