Individual provider

Elizabeth Degnall, MD

Geriatric Medicine (Internal Medicine) Physician Internal Medicine Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Elizabeth Degnall, MD is a Geriatric Medicine (Internal Medicine) Physician in Farmington, CT, registered under NPI 1205463635. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 21 SOUTH RD, Farmington, CT 06032. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

21 SOUTH RD, Farmington, CT 06032 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
077579 CT Geriatric Medicine (Internal Medicine)… primary
ETLL-570 MA Internal Medicine Physician
77579 CT Internal Medicine Physician

Licences are recorded in 2 states: CT, MA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Geriatric Medicine
PAC ID
9032539853
Enrollment ID
I20240709000631

Medicare enrolment is recorded as approved under the provider type Practitioner - Geriatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Connecticut and Massachusetts. The practice address on file is in Farmington, CT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut practice address
Licence
077579
Specialty
Geriatric Medicine (Internal Medicine)…
Verify with the CT board →
MA Massachusetts
Licence
ETLL-570
Specialty
Internal Medicine Physician
Verify with the MA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Geriatric Medicine covers

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. NUCC Health Care Provider Taxonomy, code 207RG0300X
Allopathic & Osteopathic Physicians Internal Medicine Geriatric Medicine

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RG0300X Geriatric Medicine (Internal Medicine) Physician Geriatric Medicine 077579 CT primary
207R00000X Internal Medicine Physician ETLL-570 MA
207R00000X Internal Medicine Physician 77579 CT
390200000X Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205463635 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 25, 2020
Last updatedOct 15, 2024
StatusActive
Sole proprietorNo
CredentialMD
Practice address 21 SOUTH RD
Farmington, CT 06032
(617) 638-6500
Mailing address 21 SOUTH RD STE 110
Farmington, CT 06032
This record was updated on Oct 15, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1205463635 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 4 6 3 6 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 8 6 6 6 6

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205463635?
NPI 1205463635 is the National Provider Identifier assigned to Elizabeth Degnall, MD in Farmington, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Geriatric Medicine cover?
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
How do I contact Elizabeth Degnall, MD?
The phone number on file with NPPES is (617) 638-6500, last updated Oct 15, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Elizabeth Degnall, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205463635 a valid number?
Yes. 1205463635 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.