KASSIDY NICOLE AMBURGEY M.D.
NPI 1720782261
Student in an Organized Health Care Education/Training Program in Middletown, CT
NPI Status: Active since March 29, 2023
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About KASSIDY AMBURGEY
This page provides the complete NPI Profile along with additional information for Kassidy Amburgey, a primary care provider established in Middletown, Connecticut with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1720782261 assigned on March 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1720782261
- Provider Name
- KASSIDY NICOLE AMBURGEY M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 90 S MAIN ST MIDDLETOWN, CT 06457
- Location Phone
- (860) 358-6300
- Mailing Address
- 90 S MAIN ST MIDDLETOWN, CT 06457
- Mailing Phone
- (860) 358-6300
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2023
- Last Update Date
- 03-29-2023
- Code Navigator
A primary care provider (PCP) like Kassidy Amburgey sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Kassidy Amburgey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for KASSIDY NICOLE AMBURGEY M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 7 | 8 | 2 | 2 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 14 | 8 | 4 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 1 + 4 + 8 + 4 + 2 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1720782261 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114905593 | GREGORY SHIELDS M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1710965199 | KAREN MCARTHUR M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1902885940 | KATHERINE SCHNEIDER M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1326028176 | OTTO WEIS M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1932189792 | ADRIEL KRAMER M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1346220647 | MICHAEL KAZAKOFF M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1730169038 | MICHAEL STEHNEY M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1982684296 | ALAN DOUGLASS M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1174711741 | MAI KONG XIONG MD Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1760660963 | MIDDLESEX HOSPITAL DBA INFANT HEALTH SERVICES Organization | Pediatrics (Neonatal-Perinatal Medicine) | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 358-6394 |
| 1336309467 | CHRISTINE L DUNCAN RN Individual | Registered Nurse | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 852-0008 |
| 1861620189 | FRANCISCO IRBY MD Individual | Student in an Organized Health Care Education/Training Program | 90 S MAIN ST FAMILY PRACTICE PROGRAM MIDDLETOWN, CT 06457 (860) 358-6300 |
| 1063482909 | KEITH SINUSAS M.D. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 344-6300 |
| 1346462256 | DR. MICHELLE CARDONA M.D., M.P.H. Individual | Family Medicine | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 358-6300 |
| 1467806992 | CHRIS DANIEL REYES M.D. Individual | Student in an Organized Health Care Education/Training Program | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 358-6486 |
| 1629286232 | GIULIA LAU D.O. Individual | Obstetrics & Gynecology | 90 S MAIN ST MIDDLETOWN, CT 06457 (860) 852-0008 |
| 1710163795 | EMMANUEL KENTA-BIBI MD Individual | Family Medicine | 90 S MAIN ST FAMILY PRACTICE GROUP MIDDLETOWN, CT 06457 (860) 358-6300 |
| 1033372529 | KIMBERLY LEGERE-SHARPLES MD Individual | Family Medicine | 90 S MAIN ST FAMILY PRACTICE GROUP MIDDLETOWN, CT 06457 (860) 358-6300 |
| 1871933895 | APRIL LYNN DIEP DO Individual | Hospitalist | 90 S MAIN ST FAMILY RESIDENCY PROGRAM MIDDLETOWN, CT 06457 (860) 358-6300 |
| 1235579251 | SHELLEY BURCHSTED MD Individual | Family Medicine | 90 S MAIN ST FAMILY RESIDENCY PROGRAM MIDDLETOWN, CT 06457 (860) 358-6300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720782261, enumerated in the NPI registry as an "individual" on March 29, 2023
The provider is located at 90 S Main St Middletown, Ct 06457 and the phone number is (860) 358-6300
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 29, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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