THOMPSON MEDICAL LLC
NPI 1750783619
Family Medicine in North Grosvenordale, CT

Active since September 23, 2014
415 RIVERSIDE DR, NORTH GROSVENORDALE, CT 06255(860) 923-1190(860) 923-0134 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thompson Medical Llc NPPES

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

THOMPSON MEDICAL LLC (NPI 1750783619) is a healthcare organization registered as a family medicine in North Grosvenordale, Connecticut and active in the NPI registry since September 2014. The organization lists Lisa A Coderre, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750783619
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHOMPSON MEDICAL LLC
Location Address415 RIVERSIDE DRNorth Grosvenordale, CT 06255-2165
Mailing Address415 Riverside DrNorth Grosvenordale, CT 06255-2165 · (860) 923-1190 · Fax (860) 923-0134
Fax(860) 923-0134
Organization SubpartNo
Authorized OfficialLisa A CoderreOffice Manager · (860) 923-1181
Enumeration DateSeptember 23, 2014
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1750783619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
415 RIVERSIDE DR, North Grosvenordale, CT 06255

Other Identifiers 3

Medicaid008076767CT
Medicaid1366071CT
Medicaid1364017CT

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thompson Medical 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 Thompson Medical 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)

Family Practice
NPI 1043278674
415 RIVERSIDE DRIVE THOMPSON MED CENTER
N. Grosvenordale, CT 06255
(860) 923-1181
✔ PECOSSame address
Family Practice
NPI 1164469854
415 RIVERSIDE DR. THOMPSON MED CTR
North Grosvenordale, CT 06255
(860) 923-1181
✔ PECOSSame 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 Thompson Medical LLC's NPI number?

The NPI number for Thompson Medical LLC is 1750783619. It was assigned to this organization in the NPPES registry on September 23, 2014.

Where is Thompson Medical LLC located?

Thompson Medical LLC is located at 415 Riverside Dr, North Grosvenordale, CT 06255. The listed phone number is (860) 923-1190.

What is Thompson Medical LLC's specialty?

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

Is Thompson Medical LLC enrolled in Medicare?

Yes. Thompson Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thompson Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Thompson Medical LLC. 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 Thompson Medical LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Thompson Medical 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 Thompson Medical LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.