CONNECTICUT ONCOLOGY GROUP, PC
NPI 1376533588
Nurse Practitioner - Family in Middletown, CT

Active since October 27, 2005CLIA 07D0707295 · Waiver
536 SAYBROOK RD, MIDDLETOWN, CT 06457(860) 358-2220(860) 358-2222 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Connecticut Oncology Group, Pc NPPES

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

CONNECTICUT ONCOLOGY GROUP, PC (NPI 1376533588) is a healthcare organization registered as a family in Middletown, Connecticut and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through October 15, 2028, maintains a secondary practice location in Westbrook, and lists Susanna Hong, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1376533588
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCONNECTICUT ONCOLOGY GROUP, PC
Location Address536 SAYBROOK RDMiddletown, CT 06457-4712
Mailing Address536 Saybrook RdMiddletown, CT 06457-4783 · (860) 358-2220 · Fax (860) 358-2222
Fax(860) 358-2222
Organization SubpartNo
Authorized OfficialSusanna HongAuthorized Official · (860) 358-2220
Enumeration DateOctober 27, 2005
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1376533588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedNurse PractitionerTaxonomy 363L00000X
536 SAYBROOK RD, Middletown, CT 06457

Secondary Practice Location 1

Location 1250 Flat Rock PlWestbrook, CT 06498-3585 · Phone (860) 661-9000

Other Identifiers 1

Medicaid004394970CT

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Oncology Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Connecticut Oncology Group, PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Hematology/Oncology6
Nurse Practitioner4
Medical Oncology1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1376233775
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1538788807
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOSSame address
Nurse Practitioner
NPI 1568127835
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1841396959
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831442276
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1790881803
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1730316068
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1467659557
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2223
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1235665571
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1033215132
536 SAYBROOK RD
Middletown, CT 06457
(860) 358-2220
✔ PECOSSame address
Nurse Practitioner
NPI 1639440936
8931 COLONIAL CENTER DR STE 300
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts Medicare1,154 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0707295

Connecticut Oncology Group, PC · Middletown, CT
Active · expires Oct 15, 2028
CLIA Number07D0707295
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2026
Certificate Expiration DateOctober 15, 2028
Laboratory DirectorMichael Farrell
Laboratory Phone(860) 358-2220
Laboratory LocationConnecticut Oncology Group, PC536 Saybrook Rd, Middletown, CT 06457
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Connecticut Oncology Group, PC's NPI number?

The NPI number for Connecticut Oncology Group, PC is 1376533588. It was assigned to this organization in the NPPES registry on October 27, 2005.

Where is Connecticut Oncology Group, PC located?

Connecticut Oncology Group, PC is located at 536 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 358-2220.

What is Connecticut Oncology Group, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Connecticut Oncology Group, PC enrolled in Medicare?

Yes. Connecticut Oncology Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Oncology Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Connecticut Oncology Group, PC. 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. The largest specialties are Hematology/Oncology (6), Nurse Practitioner (4) and Medical Oncology (1). Of these, 10 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Connecticut Oncology Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0707295) is associated with this NPI, valid through October 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Connecticut Oncology Group, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 32 other insurers list Connecticut Oncology Group, PC 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 Connecticut Oncology Group, PC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.