Individual provider Active NPI

Cliff R Drechsler-Martell, MD

  • Family Medicine Physician
  • Middletown, CT
National Provider Identifier
1770558108
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
023776 Issued in CT
Practice address
324 Ridge Rd
Middletown, CT 06457-4435
Phone
(860) 347-0140
Fax
(860) 346-3991
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 023776 CT Primary

Addresses

Primary practice location

324 Ridge Rd
Middletown, CT 06457-4435

Mailing address

PO Box 67
Middletown, CT 06457-0067
Phone (860) 347-0140

Other identifiers 1

IdentifierTypeStateIssuer
001237767MedicaidCT

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
I20100903000920 CT Practitioner - Family Practice 1850415399 Practice locations: Middletown, CT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023776CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medi-NP, LLC Past Accepting new patients
The Bradley Home Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Bradley HomeMeriden, CT, CCN 075439 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 1, 1999
Oct 1, 1999
Meriden Health and RehabMeriden, CT, CCN 075295 Skilled nursing facility Contracted Managing Employee Apr 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1770558108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064570067",
            "telephone_number": "860-347-0140",
            "fax_number": "860-346-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 RIDGE RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574435",
            "telephone_number": "860-347-0140",
            "fax_number": "860-346-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRECHSLER-MARTELL",
        "first_name": "CLIFF",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "023776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001237767",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.