NPIMap

Individual provider Active NPI

Kristin Giannini, M.D.

  • Family Medicine Physician
  • Vernon, CT
National Provider Identifier
1881662443
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
039339 Issued in CT
Practice address
520 Hartford Tpke
Suite N
Vernon, CT 06066-5037
Phone
(860) 872-8321
Fax
(860) 875-6271
NPI assigned
Mar 9, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 039339 CT Primary

Addresses

Primary practice location

520 Hartford Tpke
Suite N
Vernon, CT 06066-5037

Mailing address

PO Box 3249
Vernon, CT 06066-2149
Phone (860) 872-2289

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000399 CT Practitioner - Family Practice 3375667140 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians
Hospitalist Medicine Physicians of Connecticut LLCGroup PAC ID 8628104072, 36 clinicians

Practice addresses (Care Compare)

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-5322

520 Hartford Tpke
Suite M
Vernon, CT 06066-5044
Phone (860) 872-8323

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039339CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Family Medicine CurrentSince Mar 6, 2024 Accepting new patients
Medical Access P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Sound Physicians of Massachusetts II PC CurrentSince May 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Mar 6, 2024 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

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

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

520 Hartford Tpke
Ste N
Vernon, CT 06066
Phone (860) 872-8321

520 Hartford Tpke
Ste M
Vernon Rockville, CT 06066
Phone (860) 872-8321

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

Interoperability endpoints

  • Direct secure messaging: kgiannini88489@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: kristingiannini@mpp.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vernon Rehabilitation and Healthcare CenterVernon, CT, CCN 075334 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 27, 2022
Jul 27, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1881662443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3249",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662149",
            "telephone_number": "860-872-2289",
            "fax_number": "860-896-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HARTFORD TPKE",
            "address_2": "SUITE N",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665037",
            "telephone_number": "860-872-8321",
            "fax_number": "860-875-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNINI",
        "first_name": "KRISTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.