THOMAS I KNOX MD
NPI 1609838218
Internal Medicine - Cardiovascular Disease in West Hartford, CT

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
345 N MAIN ST FL 1, WEST HARTFORD, CT 06117(860) 547-1489(860) 548-9105 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas I Knox Md NPPES

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

THOMAS I KNOX MD (NPI 1609838218) is an individual cardiovascular disease provider in West Hartford, Connecticut, licensed in Connecticut (037021) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1996).

NPPES Registry Identity

NPI1609838218
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTHOMAS I KNOXCredential: MD
Location Address345 N MAIN ST FL 1West Hartford, CT 06117-2515
Mailing Address345 N Main St Fl 1West Hartford, CT 06117-2515 · (860) 547-1489 · Fax (860) 548-9105
Fax(860) 548-9105
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1996
Enumeration DateApril 6, 2006
Last NPPES UpdateAugust 4, 2014
✔ NPI 1609838218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 037021
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License 037021 (CT)
345 N MAIN ST FL 1, West Hartford, CT 06117

Other Identifiers 9

Medicare PIN110009486CT
Other2V5481Healthnet
Other2858165Aetna
Other2671151Oxford
Other010037021CT01CT · Blue Shield
Medicare UPINH79762CT
Medicaid001370212CT
Other2539791002Cigna
Other037021CT · Connecticare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas I Knox Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688611932
PECOS Enrollment IDI20050408000601
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Thomas Knox reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
Cardiovascular Disease
43 W MIDDLE TPKE
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
Cardiovascular Disease
15 PALOMBA DRIVE, SUITE 11
Enfield, CT 06082
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Jeffrey P Thompsen MD LLC
  • 5 clinicians in this Medicare group
Orthopaedic Surgery
192 PARK CLUB LANE, SUITE 100
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 332 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 27

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
799 services578 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
164 services162 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
116 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services73 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
77 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
345 N MAIN ST FL 1
WEST HARTFORD, CT 06117
Internal Medicine (Cardiovascular Disease)
345 N MAIN ST FL 1
WEST HARTFORD, CT 06117
Specialist
345 N MAIN ST FL 1
WEST HARTFORD, CT 06117

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 Thomas Knox's NPI number?

The NPI number for Thomas Knox is 1609838218. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Thomas Knox located?

Thomas Knox practices at 345 N Main St Fl 1, West Hartford, CT 06117. The listed phone number is (860) 547-1489.

What is Thomas Knox's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Knox enrolled in Medicare?

Yes. Thomas Knox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Knox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Knox reassigns Medicare benefits to 4 organizations: Trinity Health Of New England Provider Network Organization Inc (Hartford, CT), Eastern Connecticut Cardiology Associates LLC (Manchester, CT), Jeffrey P. Thompsen, M.D., LLC (Enfield, CT) and Trinity Medical Wny PC (Williamsville, NY). Each 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 Thomas Knox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Knox accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Knox 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 Thomas Knox was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.