Michael C Trager, MD
Individual provider Active NPI Internal Medicine Physician · Canaan, CT
NPI 1811961014 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1811961014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 032247 (CT)
- Practice address
- 22 South Canaan Road
Canaan, CT 06018 - Phone
- (860) 380-5150
- Fax
- (860) 726-2230
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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 |
|---|---|---|---|---|
| I20100928000522 | CT | Practitioner - Internal Medicine | 9638164791 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032247 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Institute for Communities Inc | Current |
Accepting new patients | |
| Connecticut Institute for Communities Inc | Current |
Accepting new patients | |
| The Connecticut Hospice, Inc | Current |
Accepting new patients | |
| Prohealth Physicians PC | Internal Medicine | Current |
Accepting new patients |
Locations
100 Double Beach Rd
Branford, CT 06405
Phone (203) 315-7500
625 Clark Ave
Bristol, CT 06010
Phone (860) 583-7700
70 Main St
Danbury, CT 06810
Phone (203) 739-8100
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 032247 | CT | Yes |
Addresses
Primary practice location
22 South Canaan Road
Canaan, CT 06018
Mailing address
1290 Silas Deane Highway
HHC - Cvo
Wethersfield, CT 06109-4337
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mtrager42020@direct.stfranciscare.org | Direct |
Other providers in Canaan, CT
- Fallon Marie Siniscarco
- Erika Anne Sternlof
- The Robert C Geer Memorial Hospital Inc
- The Robert C. Geer Memorial Hospital Inc
- The Robert C. Geer Memorial Hospital Inc
- Cynthia Alice Unite
- Lori A Ustico
- Vitality Healthcare LLC
- Walgreen Co
- Helen Ward
All providers in Canaan, 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 Jul 24, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.