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INTERNAL MEDICINE OF GUILFORD LLC
NPI 1457688020
Internal Medicine in Guilford, CT

Active since November 03, 2009
96A BROAD ST, GUILFORD, CT 06437(203) 453-3621 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Internal Medicine Of Guilford Llc NPPES

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

INTERNAL MEDICINE OF GUILFORD LLC (NPI 1457688020) is a healthcare organization registered as an internal medicine in Guilford, Connecticut and active in the NPI registry since November 2009. The organization lists Charles Evans Glass, Single Member Of Llc, as its authorized official.

NPPES Registry Identity

NPI1457688020
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE OF GUILFORD LLC
Location Address96A BROAD STGuilford, CT 06437-2635
Mailing Address96a Broad StGuilford, CT 06437-2635 · (203) 453-3621 · Fax (855) 736-5997
Phone(203) 453-3621
Organization SubpartNo
Authorized OfficialCharles Evans GlassSingle Member Of Llc · (203) 500-2080
Enumeration DateNovember 3, 2009
Last NPPES UpdateSeptember 19, 2019
✔ NPI 1457688020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 044810
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
96A BROAD ST, Guilford, CT 06437
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Other Identifiers 2

Other044810CT · License Number
Other1184613705CT · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medicine Of Guilford Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Internal Medicine Of Guilford LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Glass, M.D.
Internal Medicine
NPI 1184613705
96A BROAD ST
Guilford, CT 06437
(203) 453-3621
✔ PECOS✔ Accepts MedicareSame address

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

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 Internal Medicine Of Guilford LLC's NPI number?

The NPI number for Internal Medicine Of Guilford LLC is 1457688020. It was assigned to this organization in the NPPES registry on November 3, 2009.

Where is Internal Medicine Of Guilford LLC located?

Internal Medicine Of Guilford LLC is located at 96A Broad St, Guilford, CT 06437. The listed phone number is (203) 453-3621.

What is Internal Medicine Of Guilford LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Internal Medicine Of Guilford LLC enrolled in Medicare?

Yes. Internal Medicine Of Guilford LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine Of Guilford LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Internal Medicine Of Guilford LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Internal Medicine Of Guilford LLC was last updated on September 19, 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.