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CONNECTICUT SURGICAL GROUP, PC
NPI 1023291622
Urology in Meriden, CT

Active since December 06, 2007CLIA 07D2139768 · Waiver
455 LEWIS AVE, SUITE 210, MERIDEN, CT 06451(203) 238-1241(203) 686-0791 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connecticut Surgical Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNECTICUT SURGICAL GROUP, PC (NPI 1023291622) is a healthcare organization registered as an urology in Meriden, Connecticut and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Douglas C Mckell, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1023291622
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCONNECTICUT SURGICAL GROUP, PC
Location Address455 LEWIS AVE, SUITE 210Meriden, CT 06451-2121
Mailing Address17 Talcott Notch RdFarmington, CT 06032-1818 · (860) 524-2626 · Fax (860) 677-5029
Phone(203) 238-1241
Fax(203) 686-0791
Organization SubpartNo
Authorized OfficialDouglas C MckellChief Administrative Officer · (860) 524-4326
Enumeration DateDecember 6, 2007
Last NPPES UpdateAugust 11, 2010
✔ NPI 1023291622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedPodiatristTaxonomy 213E00000X
455 LEWIS AVE, Meriden, CT 06451
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Other Identifiers 4

Other50CONNSURCT01CT · Anthem Bcbs
Medicaid004139350CT
Medicare NSC1028630012CT
Medicare PINC01687

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2139768

Connecticut Gi PC · Meriden, CT
Active · expires Nov 7, 2027
CLIA Number07D2139768
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDouglas T. Miller
Laboratory Phone(203) 886-0036
Laboratory LocationConnecticut Gi PC455 Lewis Ave, Ste 200, Meriden, CT 06451
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN JO M.D.
Internal Medicine (Gastroenterology)
455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 886-0036
JAMES JOSEPH GALLAGHER III M.D.
Surgery (Vascular Surgery)
455 LEWIS AVE, SUITE 203
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 634-1900
DR. AURANGZEB A ALI M.D.
Surgery
455 LEWIS AVE, SUITE 216
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 634-0134
LOUIS MEYER MD
Surgery
455 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 238-2691
GARY MARK COHEN M.D.
Internal Medicine (Gastroenterology)
455 LEWIS AVE, SUITE 106
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 886-0036
MEDICAL ONCOLOGY & HEMATOLOGY PC
Clinical Medical Laboratory
455 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 238-7747
SUSAN ALSAMARAI MD
Internal Medicine (Hematology & Oncology)
455 LEWIS AVE, MIDSTATE MEDICAL GROUP, PC
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 238-7747
UROLOGICAL ASSOCIATES OF CENTRAL CT
Urology
455 LEWIS AVE, SUITE 210
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 238-1241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connecticut Surgical Group, PC's NPI number?

The NPI number for Connecticut Surgical Group, PC is 1023291622. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is Connecticut Surgical Group, PC located?

Connecticut Surgical Group, PC is located at 455 Lewis Ave Suite 210, Meriden, CT 06451. The listed phone number is (203) 238-1241.

What is Connecticut Surgical Group, PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Connecticut Surgical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2139768) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Connecticut Surgical Group, PC was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.