Mystic Medical Group, Pc

ActiveOrganizationInternal Medicine
NPI issued: September 15, 2005

Quick Facts

NPI Number
1902891070
TypeOrganization
StatusActive
SpecialtyInternal Medicine
Taxonomy207R00000X — Internal Medicine
Phone
(860) 572-8911
StateCT

NPI Validation Status: Verified

Valid 10-digit NPI number (1902891070)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 15, 2005)
Data source: CMS NPPES

Provider Overview

MYSTIC MEDICAL GROUP, PC is a Internal Medicine provider based in Mystic, CT who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1902891070
Provider TypeOrganization
StatusActive
Enumeration DateSeptember 15, 2005

Practice Location

CityMystic
StateCT
ZIP Code06355-1720
Phone(860) 572-8911

Specialties & Licenses

★ Primary
SpecialtyInternal Medicine
Taxonomy Code207R00000X
License StateCT

Mailing Address

CityMystic
StateCT
ZIP Code06355-1720
Phone(860) 572-8911
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1902891070 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1902891070for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1902891070 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Internal Medicine

Internal Medicine physicians (internists) specialize in the prevention, diagnosis, and nonsurgical treatment of adult illnesses, managing complex chronic conditions and multi-system diseases.

📊
213,549
Internal Medicine Providers in the US

Similar Providers in Mystic

John Nelson, M.D

📍 Mystic, CT 06355-3654

Thomas Blum, M.D

📍 Mystic, CT 06355-1720

Rosemary Bontempi, M.D

📍 Mystic, CT 06355-1720

Howard Brensilver, M.D

📍 Mystic, CT 06355-1720

James Scarles, M.D

📍 Mystic, CT 06355-1720

Warren Fields, M.D

📍 Mystic, CT 06355-1720

Other Healthcare Providers in Mystic

Cheryl Walker, APRN

Nurse Practitioner

Francis Falck, M.D., PHD

Ophthalmology

Geoffrey Schnirman, PHD

Specialty not listed

Harold Phillips, M.D

Family Medicine

Edwin Joseph, PH.D

Clinical Social Worker

New England Center For Natural Behavioral Health, Llc

Specialty not listed

People Also Ask

What is Mystic Medical Group, Pc's NPI number?
Mystic Medical Group, Pc's NPI number is 1902891070, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mystic Medical Group, Pc's NPI currently active?
Yes, Mystic Medical Group, Pc's NPI status is Active as of the latest CMS NPPES database updates.
What does Mystic Medical Group, Pc specialize in?
Mystic Medical Group, Pc specializes in Internal Medicine. The healthcare taxonomy code associated with this specialty is 207R00000X.
Where does Mystic Medical Group, Pc practice?
Mystic Medical Group, Pc practices in Mystic, CT 06355-1720.
When was Mystic Medical Group, Pc's NPI issued?
Mystic Medical Group, Pc's NPI was issued on September 15, 2005.
What is Mystic Medical Group, Pc's provider type?
Mystic Medical Group, Pc is registered as an Organization under CMS NPI Type 2.