Individual provider Active NPI

Glenda Grace Callender, MD

  • Surgical Oncology Physician
  • Waterbury, CT
National Provider Identifier
1952599441
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
51630 Issued in CT
Practice address
133 Scovill St Ste 303
Waterbury, CT 06706-1127
Phone
(203) 709-6871
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 51630 CT Primary

Addresses

Primary practice location

133 Scovill St Ste 303
Waterbury, CT 06706-1127

Mailing address

PO Box 208062
330 Cedar St, FMB 130
New Haven, CT 06520-8062
Phone (203) 737-2036

Other practice location 1

330 Cedar St # St130
New Haven, CT 06510-3218
Phone (203) 737-2036

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
I20130524000143 CT Practitioner - General SurgeryPractitioner - Surgical Oncology 3779667373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Harvard Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-5242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Feb 20, 2013 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 1, 2021 Accepting new patients
Yale University Current Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Yale University CurrentSince Feb 20, 2013 Accepting new patients
University Surgical Associates, PSC Surgical Oncology Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2800 Main St
Fl 3
Bridgeport, CT 06606
Phone (203) 576-6141

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

330 Cedar St
#130
New Haven, CT 06510
Phone (203) 737-2036

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

115 Technology Dr
Unit C100
Trumbull, CT 06611
Phone (203) 268-5212

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

Interoperability endpoints

  • Direct secure messaging: glenda.callender@xdr.hhchealthdirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1952599441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208062",
            "address_2": "330 CEDAR ST, FMB 130",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208062",
            "telephone_number": "203-737-2036",
            "fax_number": "203-785-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SCOVILL ST STE 303",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061127",
            "telephone_number": "203-709-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Cedar St # St130",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103218",
            "country_code": "US",
            "telephone_number": "203-737-2036",
            "fax_number": "203-785-2498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLENDER",
        "first_name": "GLENDA",
        "middle_name": "GRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CT",
            "license": "51630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.