Ralph J. Laguardia, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

029002 Issued in CT

Practice address

10 Higgins Hwy
Ste 4
Mansfield Center, CT 06250-1437

Phone

(860) 456-7101

Fax

(860) 423-0464

NPI assigned

Jul 14, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Select Physical Therapy of Connecticut Limited PartnershipGroup PAC ID 9638080625, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
• Constellation Home Care Hospice, Norwalk, CT, CCN 071542
• Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
• Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
• Mansfield Center for Nursing and Rehabilitation Nursing home, Storrs Mansfield, CT, CCN 075402

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Mansfield Acquisition Operator LLC

  dba Mansfield Center for Health and Rehabilitation

  • Skilled Nursing Facility
  • Storrs, CT
  • NPI 1043048044

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Ralph J. Laguardia, M.D, P.C.

  • Internal Medicine Physician
  • Mansfield Center, CT
  • NPI 1447580014
  Medicare reassignment NPD Authorized official
• Select Physical Therapy of Connecticut Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Storrs, CT
  • NPI 1639148125
  Care Compare group

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

• Constellation Home Care LLC

  dba Constellation Hospice

  • Community Based Hospice Care Agency
  • Orange, CT
  • NPI 1417239088
  Care Compare affiliation
• Hartford Healthcare at Home, Inc

  • Home Health Agency
  • Wethersfield, CT
  • NPI 1073529566
  Care Compare affiliation
• Mansfield Acquisition Operator LLC

  dba Mansfield Center for Health and Rehabilitation

  • Skilled Nursing Facility
  • Storrs, CT
  • NPI 1043048044

  Nursing home

  Care Compare affiliation
• Windham Community Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Willimantic, CT
  • NPI 1023191467
  Care Compare affiliation

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902805781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY",
            "address_2": "STE 4",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-456-7101",
            "fax_number": "860-423-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGGINS HWY",
            "address_2": "STE 4",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501437",
            "telephone_number": "860-456-7101",
            "fax_number": "860-423-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUARDIA",
        "first_name": "RALPH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "029002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001290022",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Ann Knox, RN
• Emily Kokas, LPC-A
• Leah A Korchari, RN
• Andrea Trinajstich Koval, R.N.
• Chelsea Kranc, LMSW
• Marisa Landry, LPC
• Anna R. Lane, MA, LPC, LADC
• Brittany Larose
• Ledgebrook Family Practice, LLC
• Dionna Levy

• Internal Medicine Physician in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.