Individual provider Active NPI

Mario Flores, MD

  • Anesthesiology Physician
  • Hartford, CT
National Provider Identifier
1891220802
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
72069 Issued in CT
Practice address
80 Seymour Street
Hartford, CT 06108-0610
Phone
(860) 545-5000
NPI assigned
Apr 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 72069 CT Primary

Addresses

Primary practice location

80 Seymour Street
Hartford, CT 06108-0610

Mailing address

99 East River Drive
5TH Floor
East Hartford, CT 06108
Phone (860) 282-4128

Other practice location 1

100 Retreat Avenue Suite 900
Hartford, CT 06106
Phone (860) 218-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220907002725 CT Practitioner - Anesthesiology 5193097368 Reassigns benefits to 4 organizations
I20240409001763 IL Practitioner - Anesthesiology 5193097368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Connecticut School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Gi PLLC 243 clinicians
Associated Anesthesiologists SC 150 clinicians

Practice addresses (Care Compare)

245 Alvord Park Rd
BLDG B
Torrington, CT 06790-3493
Phone (860) 496-0455

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Connecticut, LLC CurrentSince Jun 1, 2024 Accepting new patients
Ecc Ancillary Services Anesthesiology CurrentSince Mar 1, 2026 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Jun 1, 2024 Accepting new patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Mar 4, 2024 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Mar 4, 2024 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Connecticut Gi PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1591 Boston Post Rd
Ste 206
Guilford, CT 06437
Phone (203) 281-3636

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

100 Retreat Ave
Ste 900
Hartford, CT 06106
Phone (860) 218-2204

99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

245 Alvord Park Rd
Bldg B
Torrington, CT 06790
Phone (860) 482-4866

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

Interoperability endpoints

  • Direct secure messaging: mario.flores@xdr.hhchealthdirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1891220802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EAST RIVER DRIVE",
            "address_2": "5TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06108",
            "telephone_number": "860-282-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061080610",
            "telephone_number": "860-545-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Retreat Avenue Suite 900",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06106",
            "country_code": "US",
            "telephone_number": "860-218-2204",
            "fax_number": "860-461-0224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "72069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.