Organization Active NPI

Healthcare Consultation PLLC

  • Colon & Rectal Surgery Physician
  • Bloomfield, CT
National Provider Identifier
1750118394
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
HEALTHCARE CONSULTATION PLLC
Practice address
580 Cottage Grove Rd Ste 104
Bloomfield, CT 06002-3088
Phone
(860) 937-2562
Fax
(860) 937-2605
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Saumitra Banerjee, MDNPI 1053373431
Title
Owner
Phone
(860) 937-2562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

580 Cottage Grove Rd Ste 104
Bloomfield, CT 06002-3088

Mailing address

580 Cottage Grove Rd Ste 104
Bloomfield, CT 06002-3088
Phone (860) 937-2562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241009002596 CT Part B Supplier - Clinic/Group Practice 0345771705 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield, CT

National Provider Directory

National Provider Directory

Locations

580 Cottage Grove Rd
Ste 104
Bloomfield, CT 06002
Phone (860) 242-0774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1750118394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COTTAGE GROVE RD STE 104",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023088",
            "telephone_number": "860-937-2562",
            "fax_number": "860-937-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COTTAGE GROVE RD STE 104",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023088",
            "telephone_number": "860-937-2562",
            "fax_number": "860-937-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "BANERJEE",
        "authorized_official_first_name": "SAUMITRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-937-2562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.