Look up the most recent NPI and PECOS records

Robert L Taddeo

Internal Medicine

Allopathic & Osteopathic Physicians

300 Kensington Ave, Grove Hill Medical Center, New Britain, CT 06051-3916

PECOS Enrollment

This provider is enrolled in PECOS as ROBERT TADDEO.

Based on the most recent information from CMS, provider Robert L Taddeo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:56 PM.

Profile Details

Provider ID
1558358523
Provider Type
Individual
Full Name
Taddeo, Robert L
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/4/2005
Last Updated
7/9/2007

Contact Information

Practice Location

300 Kensington Ave, Grove Hill Medical Center, New Britain, CT 06051-3916

(860) 832-8150

(860) 224-6298

Mailing Location

300 Kensington Ave, Grove Hill Medical Center, New Britain, CT 06051-3916

(860) 832-8150

(860) 224-6298

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 025949 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 110071620	Description Other	Issuer RAIL ROAD MEDICARE Connecticut
ID 050481	Description Other	Issuer CONNECTICARE Connecticut
ID 135758	Description Other	Issuer WELLCARE MEDICARE Connecticut
ID P369695	Description Other	Issuer OXFORD Connecticut
ID 476780	Description Other	Issuer AETNA Connecticut
ID 060037	Description Other	Issuer HEALTH NET Connecticut
ID 1255448155	Description Other	Issuer GHMC GROUP NPI ID Connecticut
ID 001259498	Description Medicaid	Issuer Unlisted Connecticut
ID 010025949CT01	Description Other	Issuer BCBS & BCFP ID Connecticut
ID 004215324	Description Medicaid	Issuer Unlisted Connecticut
ID 01025949	Description Other	Issuer CIGNA Connecticut

Robert L Taddeo

PECOS Enrollment

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