Individual provider

Mark Pennington, M.D.

Procedural Dermatology Physician Dermatology Physician Medicare enrolled

Mark Pennington, M.D. is a Procedural Dermatology Physician in New Britain, CT, registered under NPI 1720080476. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1 LAKE ST GROVE HILL MEDICAL CENTER, New Britain, CT 06052. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 LAKE ST GROVE HILL MEDICAL CENTER, New Britain, CT 06052 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
043011 CT Procedural Dermatology Physician primary
043011 CT Dermatology Physician

This provider holds licence 043011 issued in CT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dermatology
PAC ID
1052353364
Enrollment ID
I20050526000542

Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. 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.

What Procedural Dermatology covers

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). NUCC Health Care Provider Taxonomy, code 207NS0135X
Allopathic & Osteopathic Physicians Dermatology Procedural Dermatology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207NS0135X Procedural Dermatology Physician Procedural Dermatology 043011 CT primary
207N00000X Dermatology Physician 043011 CT

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.

NPI1720080476 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 12, 2005
Last updatedSep 11, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1 LAKE ST
GROVE HILL MEDICAL CENTER
New Britain, CT 06052
(860) 348-4242
Fax (860) 348-4646
Mailing address 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER
New Britain, CT 06051
Other identifiers P00311000 · Other (CT)
1255448155 · Other (CT)
5713161 · Other (CT)
043011 · Other (CT)
3961986 · Other (CT)
368233 · Other (CT)
010043011CT01 · Other (CT)
2V6529 · Other (CT)
P3616072 · Other (CT)
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1720080476 passes the NPI check digit test The final digit 6 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 7 2 0 0 8 0 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 4 0 0 8 0 4 5

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

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 1720080476?
NPI 1720080476 is the National Provider Identifier assigned to Mark Pennington, M.D. in New Britain, 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 Procedural Dermatology cover?
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration…
How do I contact Mark Pennington, M.D.?
The phone number on file with NPPES is (860) 348-4242, last updated Sep 11, 2025. 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 Mark Pennington, M.D. 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 1720080476 a valid number?
Yes. 1720080476 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.