Individual provider Active NPI

Nicholas Verdura, M.D.

  • Surgery Physician
  • Meriden, CT
National Provider Identifier
1760645618
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
49992 Issued in CT
Practice address
455 Lewis Avenue
Suite 208
Meriden, CT 06451-2121
Phone
(203) 238-2691
Fax
(203) 235-3128
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 49992 CT Primary

Addresses

Primary practice location

455 Lewis Avenue
Suite 208
Meriden, CT 06451-2121

Mailing address

455 Lewis Avenue
Suite 208
Meriden, CT 06451-2121
Phone (203) 238-2691

Other identifiers 2

IdentifierTypeStateIssuer
NC1244MedicaidSC
5915420MedicaidNC

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
I20110826000199 CT Practitioner - General SurgeryPractitioner - Other (Physician) 1951425883 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feel Well Health Center of Southington PCGroup PAC ID 8527951870, 5 clinicians
Integrated Wound Care Connecticut, PLLCGroup PAC ID 0042572893, 4 clinicians

Practice addresses (Care Compare)

710 Main St
BLDG 4
Plantsville, CT 06479-1567
Phone (860) 378-2891

930 Mill Hill Ter
Southport, CT 06890-1265
Phone (718) 705-6010

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.98

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue3013
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Feel Well Health Center of Southington, P.C. CurrentSince May 1, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Apr 30, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Apr 30, 2017 Accepting new patients
Hartford Healthcare Medical Group, Inc Surgery CurrentSince Jan 1, 2013 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Jun 1, 2019 Accepting new patients
Integrated Wound Care Connecticut PLLC CurrentSince Sep 20, 2024 Accepting new patients
Midstate Medical Group, PC Surgery Past Accepting new patients
Midstate Medical Group, PC Past Accepting new patients
Hartford Healthcare Medical Group, Inc Surgery Past Accepting new patients

Locations

455 Lewis Ave
Ste 208
Meriden, CT 06451
Phone (203) 238-2691

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

710 Main St
Bldg 4
Plantsville, CT 06479
Phone (860) 378-2811

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

98 Main St
Ste 306
Southington, CT 06489
Phone (860) 621-6704

462 Queen St
Ste 201
Southington, CT 06489
Phone (860) 621-1896

930 Mill Hill Ter
Southport, CT 06890
Phone (203) 259-7894

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Organizations & group practices 10

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1760645618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LEWIS AVENUE",
            "address_2": "SUITE 208",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512121",
            "telephone_number": "203-238-2691",
            "fax_number": "203-235-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LEWIS AVENUE",
            "address_2": "SUITE 208",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512121",
            "telephone_number": "203-238-2691",
            "fax_number": "203-235-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDURA",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "49992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1244",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915420",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.