NPIMap

Individual provider Active NPI

Constantinos A Constantinou, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Vernon Rockville, CT
National Provider Identifier
1871551978
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
043819 Issued in CT
Practice address
94 Union St
Vernon Rockville, CT 06066-3131
Phone
(860) 870-1300
Fax
(860) 870-1306
NPI assigned
May 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 240098 MA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 043819 CT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051216000075 CT Practitioner - Thoracic SurgeryPractitioner - General Surgery 3072576818 Reassigns benefits to 1 organization
I20171221001729 MA Practitioner - Thoracic Surgery 3072576818 Reassigns benefits to 1 organization
Practice locations: Southbridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair25
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043819CTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
002160NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Oak North Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2014 Accepting new patients
Umass Memorial Health-Harrington Hospital Inc Past Accepting new patients
Gastroenterology Health Associates PastSince Mar 12, 2023 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871551978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 UNION ST",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060663131",
            "telephone_number": "860-870-1300",
            "fax_number": "860-870-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 UNION ST",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060663131",
            "telephone_number": "860-870-1300",
            "fax_number": "860-870-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 South St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Southbridge",
            "state": "MA",
            "postal_code": "015504051",
            "country_code": "US",
            "telephone_number": "860-870-1300",
            "fax_number": "860-870-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSTANTINOU",
        "first_name": "CONSTANTINOS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "240098",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CT",
            "license": "043819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Rockville, CT

Sources for this page

Verify at the official NPI Registry.