MARK D. DEPONTE, M.D.,LLC
NPI 1548591597
Family Medicine in Lisbon, CT

Active since January 14, 2010
2 LEE ROAD, LISBON, CT 06351(860) 376-4451(860) 376-5977 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark D. Deponte, M.d.,llc NPPES

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

MARK D. DEPONTE, M.D.,LLC (NPI 1548591597) is a healthcare organization registered as a family medicine in Lisbon, Connecticut and active in the NPI registry since January 2010. The organization lists Mark D Deponte, Owner, as its authorized official.

NPPES Registry Identity

NPI1548591597
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARK D. DEPONTE, M.D.,LLC
Location Address2 LEE ROADLisbon, CT 06351-3015
Mailing Address2 Lee RoadLisbon, CT 06351-3015 · (860) 376-4451 · Fax (860) 376-5977
Fax(860) 376-5977
Organization SubpartNo
Authorized OfficialMark D DeponteOwner · (860) 376-4451
Enumeration DateJanuary 14, 2010
Last NPPES UpdateAugust 14, 2026
NPPES CertifiedAugust 14, 2026
✔ NPI 1548591597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 39445
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.
2 LEE ROAD, Lisbon, CT 06351

Other Identifiers 3

Medicaid001399452CT
Other780555CT · Connecticare
Other010039945CT01CT · Blue Cross

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

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)

Mark D. Deponte, M.d.,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mark D. Deponte, M.D.,llc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Practice
NPI 1265434583
2 LEE RD
Lisbon, CT 06351
(860) 376-4451
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720863814
2 LEE RD.
Lisbon, CT 06351
(860) 376-4451
✔ 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 Mark D. Deponte, M.D.,llc's NPI number?

The NPI number for Mark D. Deponte, M.D.,llc is 1548591597. It was assigned to this organization in the NPPES registry on January 14, 2010.

Where is Mark D. Deponte, M.D.,llc located?

Mark D. Deponte, M.D.,llc is located at 2 Lee Road, Lisbon, CT 06351. The listed phone number is (860) 376-4451.

What is Mark D. Deponte, M.D.,llc's specialty?

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

Is Mark D. Deponte, M.D.,llc enrolled in Medicare?

Yes. Mark D. Deponte, M.D.,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark D. Deponte, M.D.,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mark D. Deponte, M.D.,llc, in General Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mark D. Deponte, M.D.,llc accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark D. Deponte, M.D.,llc 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 Mark D. Deponte, M.D.,llc was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.