Individual provider Active NPI

Deanna B. Tocco, M.D.

  • Pediatrics Physician
  • Wilbraham, MA
National Provider Identifier
1760745087
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
57172 Issued in CT
Practice address
2207 Boston Road
Wilbraham, MA 01095
Phone
(413) 599-1201
Fax
(413) 596-2940
NPI assigned
Jun 21, 2012
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MT201281 PA
Pediatrics Physician 208000000X MD454595 PA
Pediatrics Physician 208000000X 57172 CT Primary

Addresses

Primary practice location

2207 Boston Road
Wilbraham, MA 01095

Mailing address

2207 Boston Road
Wilbraham, MA 01095
Phone (413) 599-1201

Other practice location 1

104 Pheasant Run
Newtown, PA 18940-3439
Phone (215) 968-6844

Other practice location 2

104 Pheasant Run
Newtown, PA 18940-3439
Phone (215) 968-6844

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
I20180125001413 CT Practitioner - Pediatric Medicine 0345509071 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57172CTMDPediatrics Physician
MD454595PAMDPediatrics Physician
MT201281PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Pediatrics CurrentSince Dec 26, 2017 Accepting new patients
George F Vitek MD & Associates PC PastSince Mar 22, 2020 Accepting new patients
Unionville Pediatrics Pediatrics Past Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

290 Western Blvd
Glastonbury, CT 06033
Phone (860) 242-8330

515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: deanna.tocco.1@15841.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15841/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1760745087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 BOSTON ROAD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "01095",
            "telephone_number": "413-599-1201",
            "fax_number": "413-596-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 BOSTON ROAD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "01095",
            "telephone_number": "413-599-1201",
            "fax_number": "413-596-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Pheasant Run",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189403439",
            "country_code": "US",
            "telephone_number": "215-968-6844",
            "fax_number": "215-988-4519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Pheasant Run",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189403439",
            "country_code": "US",
            "telephone_number": "215-968-6844",
            "fax_number": "215-988-4519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOCCO",
        "first_name": "DEANNA",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT201281",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD454595",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "57172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

Verify at the official NPI Registry.