Roy Zagieboylo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

026357 Issued in CT

Practice address

893 Main St Ste 101
East Hartford, CT 06108-2293

Phone

(860) 528-2138

Fax

(860) 528-0514

NPI assigned

Apr 3, 2006

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

Electronic endpoints 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

Family PracticeAlso: Geriatric Medicine

Education

University of Massachusetts Medical School, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asylum Hill Family Medicine Center, Inc.Group PAC ID 9032016134, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
• Greater Manchester Homecare, LLC Hospice, Vernon, CT, CCN 071502
• Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rzagieboylo2388135@direct.trinity-health.org

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

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

• Greater Manchester Homecare, LLC

  • Community Based Hospice Care Agency
  • Vernon, CT
  • NPI 1508736224

  W-2 Managing Employee

  CMS ownership
• Greater Manchester Homecare, LLC

  • Home Health Agency
  • Vernon, CT
  • NPI 1619847324

  W-2 Managing Employee

  CMS ownership

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.

• Asylum Hill Family Medicine Center Inc

  • Family Medicine Physician
  • Hartford, CT
  • NPI 1083660096
  Medicare reassignment Care Compare group NPD
• Saint Francis Care Medical Group, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Hartford, CT
  • NPI 1508172545
  NPD (past)

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

• Greater Manchester Homecare, LLC

  • Community Based Hospice Care Agency
  • Vernon, CT
  • NPI 1508736224
  Care Compare affiliation
• Manchester Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1881564664
  Care Compare affiliation

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1922060417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083123",
            "telephone_number": "860-528-2138",
            "fax_number": "860-528-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST STE 101",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082293",
            "telephone_number": "860-528-2138",
            "fax_number": "860-528-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGIEBOYLO",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "026357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001263573",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rzagieboylo23433@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Family Medicine Center at East Hartford Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "893 Main St Ste 101",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061082293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.