MIDSTATE HOSPITALIST PROGRAM
NPI 1154425288
General Acute Care Hospital in Meriden, CT

Active since September 11, 2006CLIA Certified · 3 labs
435 LEWIS AVE, MERIDEN, CT 06451(860) 696-6287(860) 696-6035 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Midstate Hospitalist Program NPPES

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

MIDSTATE HOSPITALIST PROGRAM (NPI 1154425288) is a healthcare organization registered as a general acute care hospital in Meriden, Connecticut and active in the NPI registry since September 2006. The organization holds 3 active CLIA laboratory certificates and lists Ralph W Becker, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1154425288
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMIDSTATE MEDICAL CENTER
Location Address435 LEWIS AVEMeriden, CT 06451-2101
Mailing Address435 Lewis AveMeriden, CT 06451-2101 · (860) 696-6287 · Fax (860) 696-6035
Fax(860) 696-6035
Organization SubpartNo
Authorized OfficialRalph W BeckerVp Finance · (860) 696-6220
Enumeration DateSeptember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154425288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CT · 0070
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
435 LEWIS AVE, Meriden, CT 06451

Other Names 1

Other NameMidstate Hospitalist Program

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midstate Hospitalist Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

502

Medicare enrollment records show 502 clinicians reassign Medicare billing to Midstate Hospitalist Program, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 173 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Internal Medicine149
Nurse Practitioner104
Cardiovascular Disease (Cardiology)27
Neurology25
Clinical Social Worker23
Emergency Medicine22
Hospitalist19
Infectious Disease16
25 other specialties117

Nearest to this location (20)

See all 502
General Surgery
NPI 1104322700
435 LEWIS AVE
Meriden, CT 06451
(860) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1649698887
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8566
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1164717955
435 LEWIS AVE MEDICAL STAFF OFFICE
Meriden, CT 06451
(203) 694-8566
✔ PECOSSame address
Emergency Medicine
NPI 1679655393
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOSSame address
Internal Medicine
NPI 1558892612
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801318670
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1093898611
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1326574310
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8332
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396394722
435 LEWIS AVE
Meriden, CT 06451
(203) 949-2700
✔ PECOSSame address
Hospitalist
NPI 1487626065
435 LEWIS AVE HOSPITALIST PROGRAM
Meriden, CT 06451
(203) 694-8566
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437793098
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1568027373
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770748170
435 LEWIS AVE
Meriden, CT 06451
(203) 537-2558
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851321343
435 LEWIS AVE MIDSTATE MEDICAL CENTER
Meriden, CT 06451
(203) 284-1340
✔ PECOSSame address
Emergency Medicine
NPI 1679657100
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1801872528
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528422219
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1255414983
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1447592134
435 LEWIS AVE
Meriden, CT 06451
(203) 694-8200
✔ PECOS0.1 mi
General Surgery
NPI 1063464261
455 LEWIS AVE SUITE 216
Meriden, CT 06451
(203) 634-0134
✔ PECOS✔ Accepts Medicare0.1 mi
See all 502 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 Accreditation 07D0949769

Midstate Medical Center Dept Of Pathology & Laboratory Medicine · Meriden, CT
Active · expires Sep 24, 2028
CLIA Number07D0949769
Laboratory TypeHospital
Certificate Effective DateSeptember 25, 2026
Certificate Expiration DateSeptember 24, 2028
Laboratory DirectorDr. Javier De Luca-Johnson
Laboratory Phone(203) 694-8118
Laboratory LocationMidstate Medical Center Dept Of Pathology & Laboratory Medicine435 Lewis Ave, Meriden, CT 06451
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 07D2241639

Midstate Medical Center Department Of Pathology & Laboratory · Meriden, CT
Active · expires Oct 31, 2027
CLIA Number07D2241639
Laboratory TypeHospital
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorJavier De Luca-Johnson
Laboratory Phone(203) 694-8452
Laboratory LocationMidstate Medical Center Department Of Pathology & Laboratory435 Lewis Ave, Meriden, CT 06451
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D0875294

Midstate Medical Center · Meriden, CT
Active · expires Apr 23, 2027
CLIA Number07D0875294
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorJonathan S. Earle
Laboratory Phone(203) 694-5351
Laboratory LocationMidstate Medical Center61 Pomeroy Ave, Meriden, CT 06450
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Midstate Medical Center's NPI number?

The NPI number for Midstate Medical Center is 1154425288. It was assigned to this organization in the NPPES registry on September 11, 2006. The provider is also known as Midstate Hospitalist Program.

Where is Midstate Medical Center located?

Midstate Medical Center is located at 435 Lewis Ave, Meriden, CT 06451. The listed phone number is (860) 696-6287.

What is Midstate Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Midstate Medical Center enrolled in Medicare?

Yes. Midstate Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midstate Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 502 clinicians in 33 Medicare specialties reassign their Medicare billing to Midstate Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (149), Nurse Practitioner (104) and Cardiovascular Disease (Cardiology) (27). Of these, 18 practice at this address and 173 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Midstate Medical Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Midstate Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.