DR. MARY ROSE GOTARDO TANTOCO M.D.
NPI 1336315969
Internal Medicine - Nephrology in Uncasville, CT
About Dr. Mary Rose Gotardo Tantoco M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY ROSE GOTARDO TANTOCO M.D. (NPI 1336315969) is an individual nephrology provider in Uncasville, Connecticut, licensed in Connecticut (62257) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Mary Rose Gotardo Tantoco M.d. 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 Reassignment
Medicare enrollment records show Mary Rose Tantoco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 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 17
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06382 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UNCASVILLE, CT 06382
UNCASVILLE, CT 06382
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 Mary Rose Tantoco's NPI number?
The NPI number for Mary Rose Tantoco is 1336315969. It was assigned to this individual provider in the NPPES registry on May 4, 2008.
Where is Mary Rose Tantoco located?
Mary Rose Tantoco practices at 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382. The listed phone number is (860) 367-0087.
What is Mary Rose Tantoco's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Mary Rose Tantoco enrolled in Medicare?
Yes. Mary Rose Tantoco 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 organization bills Medicare for Mary Rose Tantoco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Rose Tantoco reassigns Medicare benefits to William W Backus Hospital (Norwich, CT). The 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 Mary Rose Tantoco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Rose Tantoco accept?
Health plans from Anthem Blue Cross and Blue Shield list Mary Rose Tantoco 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 Mary Rose Tantoco was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.