CONNECTICUT LIFESTYLE MEDICINE
NPI 1619527959
Family Medicine in Middletown, CT
About Connecticut Lifestyle Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNECTICUT LIFESTYLE MEDICINE (NPI 1619527959) is a healthcare organization registered as a family medicine in Middletown, Connecticut and active in the NPI registry since September 2019. The organization lists Catherine Orourke, Owner, Nurse, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connecticut Lifestyle Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Connecticut Lifestyle Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Connecticut Lifestyle Medicine's NPI number?
The NPI number for Connecticut Lifestyle Medicine is 1619527959. It was assigned to this organization in the NPPES registry on September 18, 2019.
Where is Connecticut Lifestyle Medicine located?
Connecticut Lifestyle Medicine is located at 955 S Main St, Middletown, CT 06457. The listed phone number is (516) 993-2847.
What is Connecticut Lifestyle Medicine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Connecticut Lifestyle Medicine enrolled in Medicare?
Yes. Connecticut Lifestyle Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Connecticut Lifestyle Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Connecticut Lifestyle Medicine, in Family 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Connecticut Lifestyle Medicine was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Connecticut Lifestyle Medicine · NPI 1619527959
Family Medicine organization in Middletown, Connecticut. Organization record, active in the CMS NPPES registry since September 18, 2019.
## Identity
- **NPI:** 1619527959 (Entity type: Organization)
- **Enumerated:** September 18, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Catherine Orourke, OWNER, NURSE
## Practice location
- **Address:** 955 S MAIN ST, Middletown, CT 06457-5153
- **Phone:** (516) 993-2847
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619527959) · Data from the CMS NPPES public registry.