Active NPI
John P Tsalapatanis, MD
- Pediatrics Physician
- Monroe, CT
National Provider Identifier
1922015585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 030966
- Practice address
- 401 Monroe Tpke
Canterbury Pedaitrics
Monroe, CT 06468-2276 - Phone
- (203) 452-1063
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 030966 | CT | Primary |
Addresses
Primary practice location
401 Monroe Tpke
Canterbury Pedaitrics
Monroe, CT 06468-2276
Mailing address
401 Monroe Tpke
Canterbury Pedaitrics
Monroe, CT 06468-2276
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4400746007 | Other | CT | CIGNA |
| TIN | Other | CT | POMCO |
| TIN | Other | CT | COMMUNITY HEALTH NETWORK |
| TIN | Other | CT | PIONEER |
| 2V2848 | Other | CT | HEALTH NET |
| TIN | Other | CT | NEHCA HMC/PPO |
| 507Y51 | Other | CT | EMPIRE BC/BS |
| TIN | Other | CT | MULTIPLAN |
| TIN | Other | CT | FIRST HEALTH |
| ZP151 | Other | CT | OXFORD HEALTH PLANS |
| TIN | Other | CT | CONSUMER HEALTH NETWORK |
| 010030966CT03 | Other | CT | ANTHEM BC/BS |
| 309660 | Other | CT | CONNECTICARE |
| 4276853 | Other | CT | AETNA |
| TIN | Other | CT | NORTHEAST HEALTH DIRECT |
| TIN | Other | CT | UNITED HEALTHCARE |
| TIN | Other | CT | PRIVATE HEALTHCARE SYSTEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030966 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canterbury Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1922015585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MONROE TPKE",
"address_2": "CANTERBURY PEDAITRICS",
"city": "MONROE",
"state": "CT",
"postal_code": "064682276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MONROE TPKE",
"address_2": "CANTERBURY PEDAITRICS",
"city": "MONROE",
"state": "CT",
"postal_code": "064682276",
"telephone_number": "203-452-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSALAPATANIS",
"first_name": "JOHN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "030966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4400746007",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH NETWORK",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIONEER",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V2848",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEHCA HMC/PPO",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "507Y51",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "ZP151",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSUMER HEALTH NETWORK",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010030966CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "309660",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4276853",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "TIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "TIN",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.