Cliff O'Callahan, M.D., PH.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

040077 Issued in CT

Practice address

90 S Main St
Middletown, CT 06457-3649

Phone

(860) 344-6300

Fax

(860) 344-9249

NPI assigned

Jan 18, 2006

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cocallahan13392@middlesexhealthprd.direct-ci.com

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.

• Middlesex Hospital

  dba Middlesex Hospital dba Family Practice Group

  • Family Medicine Physician
  • Middletown, CT
  • NPI 1851350664
  Medicare reassignment NPD
• Connecticut Pathology Group PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Middletown, CT
  • NPI 1740219625
  NPD
• Middlesex Hospital

  dba Middlesex Hospital Homecare and Hospice

  • Community Based Hospice Care Agency
  • Middletown, CT
  • NPI 1003873233

  Family Medicine

  NPD
• Middlesex Hospital

  dba Middlesex Hospital dba Middlesex Hospital Psychiatric Physician Servic

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1760451041
  NPD
• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  NPD
• Middlesex Hospital Dba Family Practice Group East Hampton

  dba Family Practice Group East Hampton

  • Family Medicine Physician
  • East Hampton, CT
  • NPI 1114062114
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1811977663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573649",
            "telephone_number": "860-344-6300",
            "fax_number": "860-344-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573649",
            "telephone_number": "860-344-6300",
            "fax_number": "860-344-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CALLAHAN",
        "first_name": "CLIFF",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "040077",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "040077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nuzzo
• Chidimma Nwagwu, RN
• Cassidy Ward O'Brien, LMSW
• Patricia M O'Brien, APRN
• Amy Maria O'Callaghan, DMD
• Sarah H O'Connell, M.D.
• Ryan M O'Connor, M.D.
• Cheyenne O'Donnell, APRN
• Sean J O'Donnell, MD
• Margaret O'Donoghue, MD

• Pediatrics Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.

Verify at the official NPI Registry.