PM PEDIATRICS OF CONNECTICUT
NPI 1386158467
Clinic/Center - Urgent Care in West Hartford, CT

NPI Status: Active since November 28, 2017

Contact Information

1459 NEW BRITAIN AVE
WEST HARTFORD, CT
ZIP 06110
Phone: (860) 232-5437
Fax: (860) 232-2110

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 07D2143497
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 10-09-2026

About PM PEDIATRICS OF CONNECTICUT

This page provides the complete NPI Profile along with additional information for Pm Pediatrics Of Connecticut, a provider established in West Hartford, Connecticut operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1386158467 assigned on November 2017. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Danielle Marie Lopez (Manager Credentialing/enrollment)

NPI
1386158467
Provider Name
PM PEDIATRICS OF CONNECTICUT
Entity Type
Organization
Location Address
1459 NEW BRITAIN AVE WEST HARTFORD, CT 06110
Location Phone
(860) 232-5437
Location Fax
(860) 232-2110
Mailing Address
1 HOLLOW LN STE 301 NEW HYDE PARK, NY 11042
Mailing Phone
(516) 869-0650
Mailing Fax
(860) 232-2110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2017
Last Update Date
01-21-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
  • UHC Bronze Essential - HMO
  • UHC Bronze Essential- - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIELLE MARIE LOPEZ

Authorized Official Title
MANAGER CREDENTIALING/ENROLLMENT
Authorized Official Phone
(516) 207-7936

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D2143497
Facility Type
Other - URGENT CARE
Certificate Effective Date
October 10, 2024
Certificate Expiration Date
October 09, 2026
Laboratory Director
JAMES PARKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pm Pediatrics Of Connecticut to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PM PEDIATRICS OF CONNECTICUT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1386158467, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 6 + 6 + 2 + 5 + 1 + 6 + 4 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1386158467.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386158467, enumerated as an "organization" on November 28, 2017.

The provider is located at 1459 NEW BRITAIN AVE WEST HARTFORD, CT 06110 and the phone number is (860) 232-5437.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.