INA LICO DO
NPI 1164096921
Hospitalist in Hartford, CT
About Ina Lico Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INA LICO DO (NPI 1164096921) is an individual hospitalist provider in Hartford, Connecticut, licensed in Connecticut (077532) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ina Lico Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Ina Lico reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Farmington, CT 06030
- Reassigned Medicare billing, Connecticut enrollment
- 788 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARTFORD, CT 06102
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 Ina Lico's NPI number?
The NPI number for Ina Lico is 1164096921. It was assigned to this individual provider in the NPPES registry on May 17, 2021.
Where is Ina Lico located?
Ina Lico practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-2085.
What is Ina Lico's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Ina Lico enrolled in Medicare?
Yes. Ina Lico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ina Lico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ina Lico reassigns Medicare benefits to 3 organizations: Hartford Hospital (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and University Of Connecticut Health Center (Farmington, CT). Each 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 Ina Lico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ina Lico accept?
Health plans from Anthem Blue Cross and Blue Shield list Ina Lico as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ina Lico was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ina Lico, DO · NPI 1164096921
Hospitalist physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since May 17, 2021.
## Identity
- **NPI:** 1164096921 (Entity type: Individual)
- **Enumerated:** May 17, 2021
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 077532 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 SEYMOUR ST, Hartford, CT 06102-8000
- **Phone:** (860) 972-2085
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hartford Hospital (NPI 1770696643, Hartford, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); University Of Connecticut Health Center (NPI 1720083769, Farmington, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Campbell Univ School Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164096921) · Data from the CMS NPPES public registry.