Richard Monticciolo, M.D.
Individual provider Active NPI Internal Medicine Physician · Rocky Hill, CT
NPI 1790747970 · NPPES record last updated Mar 12, 2010
Key facts
- NPI
- 1790747970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 028760 (CT)
- Practice address
- 2275 Silas Deane Hwy
Richard Monticciolo MD and Marie Monticciolo MD, LLP
Rocky Hill, CT 06067 - Phone
- (860) 257-7405
- Fax
- (860) 257-8788
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- New York Medical College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Richard Monticciolo MD and Marie Monticciolo MD LLP
Practice addresses (Care Compare)
2275 Silas Deane Hwy
Suite 6
Rocky Hill, CT 06067-2329
Phone (860) 257-7405
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101027001509 | CT | Practitioner - Internal Medicine | 4587858196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Monticciolo MD and Marie Monticciolo MD LLP | Internal Medicine | Current |
Accepting new patients |
Locations
2275 Silas Deane Hwy
Ste 6
Rocky Hill, CT 06067
Phone (860) 257-7405
2275 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 257-7405
2275 Silas Deane Hwy
Ste 13
Rocky Hill, CT 06067
Phone (860) 996-1569
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 028760 | CT | Yes |
Addresses
Primary practice location
2275 Silas Deane Hwy
Richard Monticciolo MD and Marie Monticciolo MD, LLP
Rocky Hill, CT 06067
Mailing address
2275 Silas Deane Hwy
Richard Monticciolo MD and Marie Monticciolo MD, LLP
Rocky Hill, CT 06067
Phone (860) 257-7405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1287607 | Medicaid | CT |
Other providers in Rocky Hill, CT
- Mitchel G. Katz, MD LLC
- Mitchell Gene Moffat
- Monica Echevarria, LLC
- Jennifer L Montanez
- Marie Hunazant Monticciolo
- Morgan-Anne House, Ms, LPC
- Amra Muminovic
- Madeline Munn
- Cherie Murdock
- Myeyedr Optometry of Connecticut, LLC
All providers in Rocky Hill, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.