Individual provider Active NPI

Robert D Tatoian, DPM

  • Podiatrist
  • Enfield, CT
National Provider Identifier
1871606608
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000436 Issued in CT
Practice address
74 Palomba Dr
Enfield, CT 06082-3858
Phone
(860) 253-9190
Fax
(860) 253-0047
NPI assigned
Aug 16, 2006
Last updated
Mar 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1803 MA
Podiatrist 213E00000X 000436 CT Primary

Addresses

Primary practice location

74 Palomba Dr
Enfield, CT 06082-3858

Mailing address

74 Palomba Dr
Enfield, CT 06082-3858
Phone (860) 253-9190

Other identifiers 1

IdentifierTypeStateIssuer
004069464MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060413000146 MA Practitioner - Podiatry 3577572908 Practice locations: Feeding Hills, MA
I20110224000052 CT Practitioner - Podiatry 3577572908 Practice locations: Enfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

74 Palomba Dr
Enfield, CT 06082-3858
Phone (860) 253-9190

850 Springfield St
Feeding Hills, MA 01030-2152
Phone (413) 733-8277

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue203
Removal of skin lesions18
Removal of nail tissue555
Removal or shaving of skin growth129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000436CTMDClinical Social Worker
436CTMDHearing Instrument Specialist

Interoperability endpoints

  • Direct secure messaging: rtatoian2389308@direct.trinity-health.org

Hospital & facility affiliations 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1871606608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PALOMBA DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823858",
            "telephone_number": "860-253-9190",
            "fax_number": "860-253-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PALOMBA DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823858",
            "telephone_number": "860-253-9190",
            "fax_number": "860-253-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATOIAN",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1803",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069464",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.