Prospect Ct Medical Foundation, Inc.
NPI 1144677568 · Family Medicine Physician · Manchester, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prospect Ct Medical Foundation, Inc. is a Family Medicine Physician organization in Manchester, CT (NPI 1144677568).
Provider details
- NPI number
- 1144677568
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Elders, Secretary(714) 788-1249
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Medical Group
- Other name
- Medical Group
Additional practice locations (1)
- 777 Echo Lake Rd Unit aWatertown, CT 06795-6618Phone: (860) 274-5497Fax: (203) 575-5215
Registry dates
- Enumerated
- 2016-05-16
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Frequently asked questions
- What is Prospect Ct Medical Foundation, Inc.'s NPI number?
- Prospect Ct Medical Foundation, Inc.'s National Provider Identifier (NPI) is 1144677568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prospect Ct Medical Foundation, Inc.?
- Prospect Ct Medical Foundation, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prospect Ct Medical Foundation, Inc. located?
- Prospect Ct Medical Foundation, Inc.'s practice location on file with NPPES is 71 Haynes St, Manchester, CT 06040-4131.
- What is Prospect Ct Medical Foundation, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Prospect Ct Medical Foundation, Inc. is (860) 533-2981.
- Does Prospect Ct Medical Foundation, Inc. accept Medicare?
- Prospect Ct Medical Foundation, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prospect Ct Medical Foundation, Inc.?
- The authorized official listed on Prospect Ct Medical Foundation, Inc.'s NPPES record is Robert Elders, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prospect Ct Medical Foundation, Inc.'s NPI active?
- Yes — Prospect Ct Medical Foundation, Inc.'s NPI (1144677568) is active in the NPPES registry as of the last update on 2021-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.