Individual provider Active NPI

Eileen Elizabeth O'Regan, MD

  • Internal Medicine Physician
  • Cheshire, CT
National Provider Identifier
1932273299
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
029098 Issued in CT
Practice address
1781 Highland Ave
Suite 102
Cheshire, CT 06410-1254
Phone
(203) 272-1990
Fax
(203) 271-0668
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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 029098 CT Primary

Addresses

Primary practice location

1781 Highland Ave
Suite 102
Cheshire, CT 06410-1254

Mailing address

1781 Highland Ave
Suite 102
Cheshire, CT 06410-1254
Phone (203) 272-1990

Other identifiers 7

IdentifierTypeStateIssuer
4564088OtherCTAETNA
P1024372OtherCTOXFORD
010029098CT01OtherCTBLUE SHIELD
0V0453OtherCTHEALTHNET
1290981MedicaidCT
212170OtherCTCIGNA
290980OtherCTCONNECTICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080718000423 CT Practitioner - Internal Medicine 8224101571 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029098CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Midstate Medical Group, PC Internal Medicine Past Accepting new patients
Midstate Medical Group, PC Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients
New Life Plus, PC Internal Medicine Past Accepting new patients

Locations

98 Main St
Ste 306
Southington, CT 06489
Phone (860) 621-6704

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1932273299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 HIGHLAND AVE",
            "address_2": "SUITE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101254",
            "telephone_number": "203-272-1990",
            "fax_number": "203-271-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 HIGHLAND AVE",
            "address_2": "SUITE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101254",
            "telephone_number": "203-272-1990",
            "fax_number": "203-271-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REGAN",
        "first_name": "EILEEN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "029098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4564088",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1024372",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "010029098CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0V0453",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1290981",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "212170",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "290980",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.