Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROGRESSIVE CARE MEDICAL GROUP OF CT, PLLC
NPI 1679107940
Nurse Practitioner in Southport, CT

Active since February 26, 2020
917 MILL HILL TER, SOUTHPORT, CT 06890(800) 860-3274(888) 910-1059 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2026, Nov 25, 2025, Jul 20, 2022 and 2 more (5 updates tracked since 2020).

About Progressive Care Medical Group Of Ct, Pllc NPPES

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

PROGRESSIVE CARE MEDICAL GROUP OF CT, PLLC (NPI 1679107940) is a healthcare organization registered as a nurse practitioner in Southport, Connecticut and active in the NPI registry since February 2020. The organization lists Deepak Patel, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1679107940
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePROGRESSIVE CARE MEDICAL GROUP OF CT, PLLC
Location Address917 MILL HILL TERSouthport, CT 06890-3200
Mailing AddressPo Box 1040Syosset, NY 11791-0010 · (800) 860-3274 · Fax (888) 910-1059
Fax(888) 910-1059
Organization SubpartNo
Authorized OfficialDeepak PatelAuthorized Official · (516) 855-5255
Enumeration DateFebruary 26, 2020
Last NPPES UpdateSeptember 25, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1679107940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
917 MILL HILL TER, Southport, CT 06890

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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)

Progressive Care Medical Group Of Ct, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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 IDO20211026001909Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
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 Progressive Care Medical Group Of Ct, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1356340319
22 WESTFIELD AVE UNIT 1
Ansonia, CT 06401
(203) 732-1677
✔ PECOS✔ Accepts Medicare17 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 Progressive Care Medical Group Of Ct, PLLC's NPI number?

The NPI number for Progressive Care Medical Group Of Ct, PLLC is 1679107940. It was assigned to this organization in the NPPES registry on February 26, 2020.

Where is Progressive Care Medical Group Of Ct, PLLC located?

Progressive Care Medical Group Of Ct, PLLC is located at 917 Mill Hill Ter, Southport, CT 06890. The listed phone number is (800) 860-3274.

What is Progressive Care Medical Group Of Ct, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Progressive Care Medical Group Of Ct, PLLC enrolled in Medicare?

Yes. Progressive Care Medical Group Of Ct, PLLC is registered in the Medicare PECOS enrollment system.

When is Progressive Care Medical Group Of Ct, PLLC'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 October 31, 2026. 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 Progressive Care Medical Group Of Ct, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Progressive Care Medical Group Of Ct, PLLC. 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.

What insurance does Progressive Care Medical Group Of Ct, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Progressive Care Medical Group Of Ct, PLLC 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 Progressive Care Medical Group Of Ct, PLLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.