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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 Enrolled
263 FARMINGTON AVENUE, FARMINGTON, CT 06032(860) 679-4477(860) 679-1025 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, May 10, 2023 (2 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
Phone(860) 679-4477
Fax(860) 679-1025
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2023
Enumeration DateMay 10, 2023
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1356031686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Henry Louis Siccardi Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. BALAJI RISHI RAJ JANGAM MBBS
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVENUE
FARMINGTON, CT 06032
Capitol Planning Region (860) 676-1110
DR. CURT HANENBAUM MD
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVENUE, OUTPATIENT PAVILION, 2 EAST
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-4477
DR. KATARZYNA BADZINSKA MD
Internal Medicine
263 FARMINGTON AVENUE, INTERNAL MEDICINE ASSOCIATES OUTPATIENT PAVILION, 2 WES
FARMINGTON, CT 06032
Capitol Planning Region (860) 679-4477

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Henry Siccardi was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.