PAUL ROBERT ANTHONY JR. M.D.
NPI 1912156597
Internal Medicine - Infectious Disease in Hartford, CT
About Paul Robert Anthony Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL ROBERT ANTHONY JR. M.D. (NPI 1912156597) is an individual infectious disease provider in Hartford, Connecticut, licensed in Connecticut (051732) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Paul Robert Anthony Jr. M.d. 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.
Medicare Billing Reassignments
8Medicare enrollment records show Paul Anthony reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1770696643 (Connecticut)
- 1,333 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 745 clinicians in this Medicare group
Meriden, CT 06451
- Reassigned Medicare billing, Connecticut enrollment
- 505 clinicians in this Medicare group
Torrington, CT 06790
- Reassigned Medicare billing, Connecticut enrollment
- 288 clinicians in this Medicare group
Torrington, CT 06790
- Reassigned Medicare billing, Connecticut enrollment
- 374 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06102
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 Paul Anthony's NPI number?
The NPI number for Paul Anthony is 1912156597. It was assigned to this individual provider in the NPPES registry on September 18, 2008.
Where is Paul Anthony located?
Paul Anthony practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-9300.
What is Paul Anthony's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Paul Anthony enrolled in Medicare?
Yes. Paul Anthony 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 Paul Anthony's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Anthony reassigns Medicare benefits to 8 organizations: Hartford Hospital (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Windham Community Memorial Hospital, Inc. (Willimantic, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Midstate Medical Center (Meriden, CT) and 3 more organizations, listed in the Medicare section above. 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 Paul Anthony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Anthony accept?
Health plans from Anthem Blue Cross and Blue Shield list Paul Anthony 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 Paul Anthony was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.