NPIMap

Individual provider Active NPI

Doris L Altherr, MD

  • Internal Medicine Physician
  • Plainville, CT
National Provider Identifier
1881680775
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037854 Issued in CT
Practice address
7 N Washington St
Plainville, CT 06062-1957
Phone
(860) 314-6886
Fax
(860) 314-6889
NPI assigned
Sep 26, 2005
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 037854 CT Primary

Addresses

Primary practice location

7 N Washington St
Plainville, CT 06062-1957

Mailing address

PO Box 2828
Bristol, CT 06011-2828
Phone (860) 585-3906

Other identifiers 1

IdentifierTypeStateIssuer
001378547MedicaidCT

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
I20100325000971 CT Practitioner - Internal Medicine 5496881724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bristol Hospital Multi Specialty Group, Inc.Group PAC ID 9032014758, 148 clinicians

Practice addresses (Care Compare)

36 Whiting St
Suite B
Plainville, CT 06062-3323
Phone (860) 747-8315

41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 585-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037854CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc Internal Medicine CurrentSince Jun 10, 2002 Accepting new patients
Bristol Health Care, Inc. Past Accepting new patients
Bristol Hospital Multi Specialty Group, Inc Past Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

7 N Washington St
Plainville, CT 06062
Phone (860) 314-6886

167 Main St
Southington, CT 06489
Phone (860) 426-0252

Interoperability endpoints

  • Direct secure messaging: doris.altherr@bhmg.eclinicaldirectplus.com

Organizations & group practices 5

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 6

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1881680775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060112828",
            "telephone_number": "860-585-3906",
            "fax_number": "860-585-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N WASHINGTON ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621957",
            "telephone_number": "860-314-6886",
            "fax_number": "860-314-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTHERR",
        "first_name": "DORIS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "037854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001378547",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.