LANDMARK MEDICAL OF CONNECTICUT PC
NPI 1245813419
General Practice in Westborough, MA

Active since May 04, 2021
1400 COMPUTER DR STE 301, WESTBOROUGH, MA 01581(657) 400-5180 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Landmark Medical Of Connecticut Pc NPPES

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

LANDMARK MEDICAL OF CONNECTICUT PC (NPI 1245813419) is a healthcare organization registered as a general practice in Westborough, Massachusetts and active in the NPI registry since May 2021. The organization lists Christopher Dennis, Chief Bh Officer, as its authorized official.

NPPES Registry Identity

NPI1245813419
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF CONNECTICUT PC
Location Address1400 COMPUTER DR STE 301Westborough, MA 01581-1790
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152
Organization SubpartNo
Authorized OfficialChristopher DennisChief Bh Officer · (657) 400-5180
Enumeration DateMay 4, 2021
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1245813419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1400 COMPUTER DR STE 301, Westborough, MA 01581

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Landmark Medical Of Connecticut Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Landmark Medical Of Connecticut PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1649202144
130 DIVISION ST
Derby, CT 06418
(203) 732-7325
✔ PECOS✔ Accepts Medicare102 mi
Nurse Practitioner
NPI 1477001055
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts Medicare1,100 mi

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

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 Landmark Medical Of Connecticut PC's NPI number?

The NPI number for Landmark Medical Of Connecticut PC is 1245813419. It was assigned to this organization in the NPPES registry on May 4, 2021.

Where is Landmark Medical Of Connecticut PC located?

Landmark Medical Of Connecticut PC is located at 1400 Computer Dr Ste 301, Westborough, MA 01581. The listed phone number is (657) 400-5180.

What is Landmark Medical Of Connecticut PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Landmark Medical Of Connecticut PC enrolled in Medicare?

Yes. Landmark Medical Of Connecticut PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Landmark Medical Of Connecticut PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Landmark Medical Of Connecticut PC, in Internal Medicine and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Connecticut PC was last updated on January 30, 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.