Organization provider

MIDDLESEX HOSPITAL

Family Nurse Practitioner Emergency Medicine Physician Family Medicine Physician Medicare enrolled

MIDDLESEX HOSPITAL is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1972563138, based in Middletown, CT. The organization lists 14 taxonomy classifications, with Family Nurse Practitioner recorded as primary.

Getting there

The practice address on file is 80 S MAIN ST, Middletown, CT 06457. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

80 S MAIN ST, Middletown, CT 06457 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
53426 CT Adult Medicine Physician
001743 CT Nurse Practitioner

This provider holds licence 53426 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
Part B Supplier - Clinic/group Practice
PAC ID
5092611731
Enrollment ID
O20031216000592

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. 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 Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 14 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family CT primary
207P00000X Emergency Medicine Physician CT
207Q00000X Family Medicine Physician CT
207QA0505X Adult Medicine Physician Adult Medicine 53426 CT
207R00000X Internal Medicine Physician CT
207RC0200X Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine CT
207RI0200X Infectious Disease Physician Infectious Disease CT
207RP1001X Pulmonary Disease Physician Pulmonary Disease CT
2084N0400X Neurology Physician Neurology CT
208M00000X Hospitalist Physician CT
363AM0700X Medical Physician Assistant Medical CT
363L00000X Nurse Practitioner 001743 CT
363LA2100X Acute Care Nurse Practitioner Acute Care CT
363LA2200X Adult Health Nurse Practitioner Adult Health 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-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1972563138 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 23, 2006
Last updatedApr 3, 2019
StatusActive
Practice address 80 S MAIN ST
Middletown, CT 06457
(860) 358-6394
Fax (860) 358-6094
Other identifiers 004121125 · Medicaid (CT)
CK1085 · Other (CT)
The last update on file is Apr 3, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1972563138 passes the NPI check digit test The final digit 8 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 9 7 2 5 6 3 1 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 5 2 1 6 6 1 6

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

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 1972563138?
NPI 1972563138 is the National Provider Identifier assigned to MIDDLESEX HOSPITAL in Middletown, 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 Family cover?
Definition to come...
How do I contact MIDDLESEX HOSPITAL?
The phone number on file with NPPES is (860) 358-6394, last updated Apr 3, 2019. 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 MIDDLESEX HOSPITAL 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 1972563138 a valid number?
Yes. 1972563138 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.