Constantinos A Constantinou, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Vernon Rockville, CT
NPI 1871551978 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1871551978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 043819 (CT)
- Practice address
- 94 Union St
Vernon Rockville, CT 06066-3131 - Phone
- (860) 870-1300
- Fax
- (860) 870-1306
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holyoke Medical Center Inc
Practice addresses (Care Compare)
11 Hospital Dr
FL 3
Holyoke, MA 01040-6601
Phone (413) 535-4757
94 Union St
Suite a
Vernon, CT 06066-3131
Phone (860) 870-1300
Hospital & facility affiliations
- Umass Memorial Health - Harrington Hospital
- Manchester Memorial Hospital
- Day Kimball Hospital
- Johnson Memorial Hospital
- Umass Memorial Medical Center/University Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 25 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051216000075 | CT | Practitioner - Thoracic Surgery |
3072576818 | Reassigns benefits to 1 organization |
| I20171221001729 | MA | Practitioner - Thoracic Surgery | 3072576818 |
Reassigns benefits to 1 organization Practice locations: Southbridge, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002160 | NY | MD | Registered Dietitian |
| 043819 | CT | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 240098 | MA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak North | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| Gastroenterology Health Associates | Past |
Accepting new patients | |
| Umass Memorial Health-Harrington Hospital Inc | Past | Accepting new patients |
Locations
773 Main St
Manchester, CT 06040
Phone (860) 870-1300
346 Pomfret St
Putnam, CT 06260
Phone (860) 928-0815
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
100 South St
Ste 108
Southbridge, MA 01550
Phone (508) 764-6966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 240098 | MA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 043819 | CT | Yes |
Addresses
Primary practice location
94 Union St
Vernon Rockville, CT 06066-3131
Mailing address
94 Union St
Vernon Rockville, CT 06066-3131
Phone (860) 870-1300
Other practice location 1
100 South St Ste 108
Southbridge, MA 01550-4051
Phone (860) 870-1300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001438193 | Medicaid | CT |
Other providers in Vernon Rockville, CT
- Diane Marie Blackwood
- Bolbol LLC
- Deanna Carter
- Lorraine Conderino
- Connecticut CVS Pharmacy, L.L.C.
- Lisa Corcoran
- Jo-Lea Cotton
- David Neuhaus, MD
- Susan Davis
- Sandy De Leon Adames
All providers in Vernon Rockville, CT · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.