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NICHOLAS J. PALERMO DO, PC
NPI 1497940431
Family Medicine in Manchester, CT

Active since September 12, 2007
257 EAST CENTER STREET, MANCHESTER, CT 06040(860) 645-3927(860) 643-2531 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicholas J. Palermo Do, Pc NPPES

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

NICHOLAS J. PALERMO DO, PC (NPI 1497940431) is a healthcare organization registered as a family medicine in Manchester, Connecticut and active in the NPI registry since September 2007. The organization lists Nicholas Joseph Palermo, President, as its authorized official.

NPPES Registry Identity

NPI1497940431
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNICHOLAS J. PALERMO DO, PC
Location Address257 EAST CENTER STREETManchester, CT 06040
Mailing Address49 Erie StManchester, CT 06040 · (860) 645-3927 · Fax (860) 643-2531
Phone(860) 645-3927
Fax(860) 643-2531
Organization SubpartNo
Authorized OfficialNicholas Joseph PalermoPresident · (860) 645-3927
Enumeration DateSeptember 12, 2007
✔ NPI 1497940431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
257 EAST CENTER STREET, Manchester, CT 06040
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas J. Palermo Do, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20050719000272Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicholas J. Palermo Do, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Palermo, D.O.
Osteopathic Manipulative Medicine
NPI 1366419632
257 E CENTER ST THE OPTIMUM HEALTH BUILDING
Manchester, CT 06040
(860) 645-3927
✔ PECOS✔ Accepts Medicare1.0 mi

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 Nicholas J. Palermo Do, PC's NPI number?

The NPI number for Nicholas J. Palermo Do, PC is 1497940431. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Nicholas J. Palermo Do, PC located?

Nicholas J. Palermo Do, PC is located at 257 East Center Street, Manchester, CT 06040. The listed phone number is (860) 645-3927.

What is Nicholas J. Palermo Do, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas J. Palermo Do, PC enrolled in Medicare?

Yes. Nicholas J. Palermo Do, PC is registered in the Medicare PECOS enrollment system.

When is Nicholas J. Palermo Do, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nicholas J. Palermo Do, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Osteopathic Manipulative Medicine) reassigns their Medicare billing to Nicholas J. Palermo Do, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas J. Palermo Do, PC was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.