Individual provider Active NPI

Richard Monticciolo, M.D.

  • Internal Medicine Physician
  • Rocky Hill, CT
National Provider Identifier
1790747970
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
028760 Issued in 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
Last updated
Mar 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 028760 CT Primary

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

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
I20101027001509 CT Practitioner - Internal Medicine 4587858196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLPGroup PAC ID 5890989404, 2 clinicians

Practice addresses (Care Compare)

2275 Silas Deane Hwy
Suite 6
Rocky Hill, CT 06067-2329
Phone (860) 257-7405

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Monticciolo MD and Marie Monticciolo MD LLP Internal Medicine CurrentSince Mar 6, 1997 Accepting new patients

Locations

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

2275 Silas Deane Hwy
Ste 6
Rocky Hill, CT 06067
Phone (860) 257-7405

Organizations & group practices 1

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1790747970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SILAS DEANE HWY",
            "address_2": "RICHARD MONTICCIOLO MD AND MARIE MONTICCIOLO MD, LLP",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-257-7405",
            "fax_number": "860-257-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SILAS DEANE HWY",
            "address_2": "RICHARD MONTICCIOLO MD AND MARIE MONTICCIOLO MD, LLP",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-257-7405",
            "fax_number": "860-257-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTICCIOLO",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "028760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.