Active NPI
Loretta Johnson Pilagin, M.D.
- Family Medicine Physician
- Manchester, CT
National Provider Identifier
1811965833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2014-02093
- Practice address
- 375 E Center St
Manchester, CT 06040-4445 - Phone
- (860) 646-0166
- Fax
- (860) 645-7534
- NPI assigned
- Mar 8, 2006
- Last updated
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 032428 | CT | |
| Family Medicine Physician | 207Q00000X | 2014-02093 | NC | Primary |
Addresses
Primary practice location
375 E Center St
Manchester, CT 06040-4445
Mailing address
PO Box 3249
Vernon, CT 06066-2149
Phone (860) 872-2289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170206000026 | NC | Practitioner - Family Practice | 5799874053 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032428 | CT | MD | Family Medicine Physician |
| 2014-02093 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkes Physician Network, Inc. | Family Medicine | Current | Accepting new patients |
| Saint Francis Behavioral Health Group, P.C. | Past | Accepting new patients | |
| Healthwise Medical Associates, LLP | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Wilkes Regional Family Medicine
- Family Medicine Physician
- North Wilkesboro, NC
- NPI 1245496413
-
- Family Medicine Physician
- Vernon, CT
- NPI 1891749933
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hartford, CT
- NPI 1801834890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1811965833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3249",
"city": "VERNON",
"state": "CT",
"postal_code": "060662149",
"telephone_number": "860-872-2289",
"fax_number": "860-896-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E CENTER ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404445",
"telephone_number": "860-646-0166",
"fax_number": "860-645-7534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILAGIN",
"first_name": "LORETTA",
"middle_name": "JOHNSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "032428",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2014-02093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.