Active NPI
Kathy Jean Kalkbrenner, MD
- Pediatric Critical Care Medicine Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 52031
- Practice address
- 282 Washington St
Hartford, CT 06106-3322 - Phone
- (860) 545-9393
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
CT, Pediatric Critical Care Medicine
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
Pediatric Critical Care Medicine
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
- Psychiatry Physician
- Manchester, NH
- NPI 1669431466
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Massachusetts Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Connecticut Children'S Specialty Group, Inc
Practice addresses (Care Compare)
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140211001210 | CT | Practitioner - Critical Care (Intensivists) | 5698829356 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241381 | NY | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Connecticut Children'S Specialty Group, Inc. | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Elliot Professional Services | Past | Accepting new patients | |
| Elliot Professional Services | Past | Accepting new patients |
Locations
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
Interoperability endpoints
- kkalkbrenner8995@connecticutchildrens.direct-ci.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 14875 | NH | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 241381 | NY | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 52031 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
282 Washington St
Hartford, CT 06106-3322
Mailing address
39 Ellsworth LN
Canton, CT 06019-2642
Phone (347) 819-4735
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkalkbrenner8995@connecticutchildrens.direct-ci.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2022.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1831269729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ELLSWORTH LN",
"city": "CANTON",
"state": "CT",
"postal_code": "060192642",
"telephone_number": "347-819-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-545-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALKBRENNER",
"first_name": "KATHY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NH",
"license": "14875",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "241381",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CT",
"license": "52031",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkalkbrenner8995@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "282 Washington St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061063322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.