Individual provider Active NPI

Christina Shenko, MD

  • Family Medicine Physician
  • Middletown, CT
National Provider Identifier
1841424124
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
62962 Issued in CT
Practice address
90 S Main St
Middletown, CT 06457-3649
Phone
(860) 358-6486
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 62962 CT Primary
Family Medicine Physician 207Q00000X 265326 NY

Addresses

Primary practice location

90 S Main St
Middletown, CT 06457-3649

Mailing address

90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-6486

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Middletown Direct

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
I20190524000445 CT Practitioner - Family Practice 9133369044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-4821

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62962CTMDFamily Medicine Physician
265326NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene J Nowak DO Inc Current Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Middlesex Hospital Past Accepting new patients

Locations

2440 Fenton St
#101
Chula Vista, CA 91914
Phone (619) 420-1840

42 E High St
East Hampton, CT 06424
Phone (860) 344-6394

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

Interoperability endpoints

  • Direct secure messaging: cshenko18255@middlesexhealthprd.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1841424124",
    "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": "860-358-6486"
        },
        {
            "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": "860-358-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENKO",
        "first_name": "CHRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "62962",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Middletown",
            "affiliation": "N",
            "endpointDescription": "Main Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "90 S Main St",
            "city": "Middletown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064573649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.