THEODORE R HARTENSTEIN MD
NPI 1225256308
Hospitalist in Hartford, CT

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
114 WOODLAND ST, DEPT. OF MEDICINE, HARTFORD, CT 06105(860) 714-7446(860) 714-1508 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theodore R Hartenstein Md NPPES

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

THEODORE R HARTENSTEIN MD (NPI 1225256308) is an individual hospitalist provider in Hartford, Connecticut, licensed in Connecticut (49573) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2006).

NPPES Registry Identity

NPI1225256308
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTHEODORE R HARTENSTEINCredential: MD
Location Address114 WOODLAND ST, DEPT. OF MEDICINEHartford, CT 06105-1208
Mailing Address1000 Asylum Ave, Suite 2109aHartford, CT 06105-1770 · (860) 714-6581
Fax(860) 714-1508
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2006
Enumeration DateApril 23, 2007
Last NPPES UpdateMarch 16, 2012
✔ NPI 1225256308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CT · 49573
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 49573 (CT)
114 WOODLAND ST, Hartford, CT 06105

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

Theodore R Hartenstein Md 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.

PECOS PAC ID5496888307
PECOS Enrollment IDI20110630000020
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Theodore Hartenstein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
Family
80 S MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 178 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
73 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospitalist
114 WOODLAND ST
HARTFORD, CT 06105
Nurse Practitioner (Family)
114 WOODLAND ST
HARTFORD, CT 06105
Nurse Practitioner (Adult Health)
114 WOODLAND ST
HARTFORD, CT 06105
Clinic/Center (Dental)
114 WOODLAND ST
HARTFORD, CT 06105
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
HARTFORD, CT 06105
Nurse Anesthetist, Certified Registered
114 WOODLAND ST, WOODLAND ANESTHESIOLOGY ASSOCIATES PC
HARTFORD, CT 06105

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 Theodore Hartenstein's NPI number?

The NPI number for Theodore Hartenstein is 1225256308. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Theodore Hartenstein located?

Theodore Hartenstein practices at 114 Woodland St Dept. Of Medicine, Hartford, CT 06105. The listed phone number is (860) 714-7446.

What is Theodore Hartenstein's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Theodore Hartenstein enrolled in Medicare?

Yes. Theodore Hartenstein 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 Theodore Hartenstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Hartenstein reassigns Medicare benefits to 2 organizations: Trinity Health Of New England Provider Network Organization Inc (Hartford, CT) and Middlesex Hospital (Middletown, 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 Theodore Hartenstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Hartenstein accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Theodore Hartenstein 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 Theodore Hartenstein was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.