Individual provider Active NPI

Paqui D Motyl, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Uncasville, CT
National Provider Identifier
1750469037
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
033964 Issued in CT
Practice address
80 Norwich New London Tpke
Uncasville, CT 06382-2527
Phone
(860) 848-1297
Fax
(860) 848-9875
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 033964 CT Primary

Addresses

Primary practice location

80 Norwich New London Tpke
Uncasville, CT 06382-2527

Mailing address

112 Lafayette St
Norwich, CT 06360-2737
Phone (860) 848-1297

Other identifiers 4

IdentifierTypeStateIssuer
4024972MedicaidCT
4041679MedicaidCO
060646704OtherTRI-CARE
P00120176OtherCLINIC

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
I20041104000724 CT Practitioner - Internal Medicine 3678536349 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033964CTMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital Current Accepting new patients
William W Backus Hospital CurrentSince May 9, 2013 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Apr 1, 2016 Accepting new patients
North Stonington Health Center, Inc Past Accepting new patients

Locations

406 Farmington Ave
Farmington, CT 06032
Phone (860) 224-5433

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

80 Norwich New London Tpke
Uncasville, CT 06382
Phone (860) 425-8740

Organizations & group practices 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1750469037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602737",
            "telephone_number": "860-848-1297",
            "fax_number": "860-848-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NORWICH NEW LONDON TPKE",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822527",
            "telephone_number": "860-848-1297",
            "fax_number": "860-848-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTYL",
        "first_name": "PAQUI",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CT",
            "license": "033964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4024972",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4041679",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "060646704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC",
            "identifier": "P00120176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.