Individual provider Active NPI

Alicia Coen Sigal, MD

  • Dermatology Physician
  • Meriden, CT
National Provider Identifier
1801005673
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
046221 Issued in CT
Practice address
140 Green Rd
Meriden, CT 06450-6612
Phone
(203) 630-2245
Fax
(203) 630-2909
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 046221 CT Primary

Addresses

Primary practice location

140 Green Rd
Meriden, CT 06450-6612

Mailing address

140 Green Rd
Meriden, CT 06450-6612
Phone (203) 630-2245

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
I20090923000666 CT Practitioner - Dermatology 5698821205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatopathology Laboratory of New England PCGroup PAC ID 1850356254, 4 clinicians

Practice addresses (Care Compare)

140 Green Rd
Meriden, CT 06450-6612
Phone (203) 630-2245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Laboratory of New England PC Dermatology CurrentSince Oct 1, 2009 Accepting new patients

Locations

140 Green Rd
Meriden, CT 06450
Phone (203) 630-2245

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1801005673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GREEN RD",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506612",
            "telephone_number": "203-630-2245",
            "fax_number": "203-630-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GREEN RD",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506612",
            "telephone_number": "203-630-2245",
            "fax_number": "203-630-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGAL",
        "first_name": "ALICIA",
        "middle_name": "COEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "046221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.