Individual provider Active NPI

Christian Todzia

  • Family Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1861254450
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12825 Issued in CT
Practice address
176 Trolley Crossing LN
Middletown, CT 06457-5851
Phone
(860) 604-9679
NPI assigned
Jan 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12825 CT Primary

Addresses

Primary practice location

176 Trolley Crossing LN
Middletown, CT 06457-5851

Mailing address

176 Trolley Crossing LN
Middletown, CT 06457-5851

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813000138 CT Practitioner - Nurse Practitioner 2163960923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Regional Pain Specialists,LLCGroup PAC ID 9638228109, 2 clinicians
Wheeler Clinic IncGroup PAC ID 0345147153, 105 clinicians

Practice addresses (Care Compare)

2447 Whitney Ave
Suite 1
Hamden, CT 06518-3211
Phone (203) 624-4400

40 Hart St
New Britain, CT 06052-1759
Phone (860) 793-3500

855 Lakewood Rd
Waterbury, CT 06704-5408
Phone (860) 793-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Sep 9, 2024 Accepting new patients
Connecticut Regional Pain Specialists,LLC CurrentSince Jan 19, 2026 Accepting new patients
Wheeler Clinic Inc CurrentSince Sep 9, 2024 Accepting new patients

Locations

2447 Whitney Ave
Ste 1
Hamden, CT 06518
Phone (203) 624-4400

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

Interoperability endpoints

  • Direct secure messaging: christian.todzia.p1@direct.wheelerclinic.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1861254450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 TROLLEY CROSSING LN",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 TROLLEY CROSSING LN",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575851",
            "telephone_number": "860-604-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODZIA",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.