Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HENRY LOUIS SICCARDI MD, MPH
NPI 1356031686
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since May 10, 2023PECOS EnrolledAccepts Medicare Assignment
263 FARMINGTON AVENUE, FARMINGTON, CT 06032(860) 679-4477(860) 679-1025 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, May 19, 2026, May 10, 2023 (3 updates tracked since 2023).

About Dr. Henry Louis Siccardi Md, Mph NPPES

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

DR. HENRY LOUIS SICCARDI MD, MPH (NPI 1356031686) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Torrington, and is a graduate of University Of Connecticut School Of Medicine (2023).

NPPES Registry Identity

NPI1356031686
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. HENRY LOUIS SICCARDICredential: MD, MPH
Location Address263 FARMINGTON AVENUEFarmington, CT 06032-1025
Mailing Address263 Farmington AveFarmington, CT 06030-8082 · (860) 679-4477 · Fax (860) 679-1025
Fax(860) 679-1025
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2023
Enumeration DateMay 10, 2023
Last NPPES UpdateSeptember 16, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1356031686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 083877 (CT)
263 FARMINGTON AVENUE, Farmington, CT 06032

Secondary Practice Location 1

Location 1507 E Main StTorrington, CT 06790-5606 · Phone (860) 679-4477 · Fax (860) 679-1025

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. Henry Louis Siccardi Md, Mph 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 ID4183194574
PECOS Enrollment IDI20260527001670
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 Reassignment

Medicare enrollment records show Henry Siccardi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
263 FARMINGTON AVE
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVENUE
FARMINGTON, CT 06032
Internal Medicine
263 FARMINGTON AVENUE, INTERNAL MEDICINE ASSOCIATES OUTPATIENT PAVILION, 2 WES
FARMINGTON, CT 06032

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 Henry Siccardi's NPI number?

The NPI number for Henry Siccardi is 1356031686. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Henry Siccardi located?

Henry Siccardi practices at 263 Farmington Avenue, Farmington, CT 06032. The listed phone number is (860) 679-4477.

What is Henry Siccardi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Henry Siccardi enrolled in Medicare?

Yes. Henry Siccardi 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 Henry Siccardi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Siccardi reassigns Medicare benefits to University Of Connecticut Health Center (Farmington, 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 Henry Siccardi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Henry Siccardi was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.