Andrew C. Wells, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16148 Issued in CT

Practice address

22East St
Bethlehem, CT 06751-0490

Phone

(203) 277-5226

Fax

(203) 266-5236

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dr. Philip a. Mongelluzzo, Jr. LLC

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1275627093
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1962575407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "address_2": "23 EAST ST",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067510490",
            "telephone_number": "203-266-5226",
            "fax_number": "203-266-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22EAST ST",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067510490",
            "telephone_number": "203-277-5226",
            "fax_number": "203-266-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ANDREW",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "16148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001161488",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Wellspring Foundation, Inc.
• Towne Apothecary LLC
• Towne RX Inc
• Lisa Zinn Tuz, BCBA CTLBA
• Keith Wade, DMD
• Maureen Williams

• Family Medicine Physician in Bethlehem, CT
• Providers in Bethlehem, 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 Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.