INTERNAL MEDICINE GROUP LLC
NPI 1770617367
Internal Medicine - Geriatric Medicine in Norwich, CT
NPI Status: Active since March 15, 2007
Contact Information
1 TOWNE PARK PLZ
NORWICH, CT
ZIP 06360
Phone: (860) 887-0010
Fax: (860) 887-0178
- Organization
- Internal Medicine
- Geriatric Medicine
- CLIA Number: 07D0989083
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-16-2025
About INTERNAL MEDICINE GROUP LLC
This page provides the complete NPI Profile along with additional information for Internal Medicine Group Llc, an internist established in Norwich, Connecticut operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1770617367 assigned on March 2007. The practitioner's primary taxonomy code is 207RG0300X with license number 037461 (CT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Hanna Kackielo Md (Owner)
- NPI
- 1770617367
- Provider Name
- INTERNAL MEDICINE GROUP LLC
- Entity Type
- Organization
- Location Address
- 1 TOWNE PARK PLZ NORWICH, CT 06360
- Location Phone
- (860) 887-0010
- Location Fax
- (860) 887-0178
- Mailing Address
- 1 TOWNE PARK PLZ NORWICH, CT 06360
- Mailing Phone
- (860) 887-0010
- Mailing Fax
- (860) 887-0178
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-15-2007
- Last Update Date
- 08-22-2020
- Code Navigator
An internist like Internal Medicine Group Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 037461
- License State
- CT
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D0989083
- Facility Type
- Physician Office
- Certificate Effective Date
- July 17, 2023
- Certificate Expiration Date
- July 16, 2025
- Laboratory Director
- HANNA KACKIELO MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Internal Medicine Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 0 | 6 | 1 | 7 | 3 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 12 | 1 | 14 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 2 + 1 + 1 + 4 + 3 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1770617367 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1205943891 | ANIS RACY MD Individual | Psychiatry & Neurology (Neurology) | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-1433 |
| 1861584997 | ELCON LEVINSON MD Individual | Radiology (Diagnostic Radiology) | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-1433 |
| 1184782070 | DR. CAMILLE G. SALAME M.D., M.S. Individual | Neurological Surgery | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 889-8598 |
| 1780718460 | NEUROLOGY ASSOCIATES, LLC Organization | Psychiatry & Neurology (Neurology) | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-1433 |
| 1518316033 | DR. EMILY CONINE DPT Individual | Physical Therapist | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-9111 |
| 1801325626 | LIFE IN PROGRESS Organization | Counselor (Professional) | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 908-3400 |
| 1740464312 | MS. SYLVIA EVE LYNCH LMFT Individual | Marriage & Family Therapist | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 303-8466 |
| 1831676881 | RENEE PAWLUK DPT Individual | Physical Therapist | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-9111 |
| 1467927467 | COOK COUNSELING PLLC Organization | Counselor (Mental Health) | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 908-0166 |
| 1740344407 | MARIANNE P PASCALE APRN Individual | Nurse Practitioner (Family) | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 887-0010 |
| 1598714701 | MRS. HANNA KACKIELO MD Individual | Internal Medicine | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 887-0010 |
| 1972121630 | PAUL THOMAS FIDRYCH DNP Individual | Nurse Practitioner | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-1433 |
| 1558986174 | RYAN MANSI Individual | Nurse Practitioner (Gerontology) | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-1433 |
| 1154922375 | DR. KATHRYN TIRRELL DPT Individual | Physical Therapist | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-9111 |
| 1194315598 | DR. RACHEL NICOLE STEMPLEWSKI PT, DPT Individual | Physical Therapist | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 886-9111 |
| 1093390833 | JULIA REIS NP Individual | Nurse Practitioner | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 887-0010 |
| 1730768185 | JESSICA BAILEY DEBLOIS APRN, FNP-C Individual | Family Medicine | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 889-9035 |
| 1073600961 | JOSELITO ENDAYA MD Individual | Internal Medicine | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 887-0010 |
| 1093882540 | MS. CATHERINE ELIZABETH THOMPSON PA-C Individual | Physician Assistant (Surgical) | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 889-9035 |
| 1497373252 | BERNARDO DE ANDRADA PEREIRA MD Individual | Neurological Surgery | 1 TOWNE PARK PLZ NORWICH, CT 06360 (860) 889-9035 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770617367, enumerated in the NPI registry as an "organization" on March 15, 2007
The provider is located at 1 Towne Park Plz Norwich, Ct 06360 and the phone number is (860) 887-0010
This medical organization specializes in Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine
The provider's CLIA number is 07D0989083 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 15, 2007. 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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