East Granby Family Practice LLC
NPI 1154308229 · Family Medicine Physician · East Granby, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Granby Family Practice LLC is a Family Medicine Physician organization in East Granby, CT (NPI 1154308229).
Provider details
- NPI number
- 1154308229
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Dietrich, Partner MD(860) 653-4526
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2013-06-26
Frequently asked questions
- What is East Granby Family Practice LLC's NPI number?
- East Granby Family Practice LLC's National Provider Identifier (NPI) is 1154308229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Granby Family Practice LLC?
- East Granby Family Practice LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is East Granby Family Practice LLC located?
- East Granby Family Practice LLC's practice location on file with NPPES is 13 Church Rd, East Granby, CT 06026-0518.
- What is East Granby Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for East Granby Family Practice LLC is (860) 653-4526.
- Does East Granby Family Practice LLC accept Medicare?
- East Granby Family Practice LLC 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 East Granby Family Practice LLC?
- The authorized official listed on East Granby Family Practice LLC's NPPES record is Steven Dietrich, Partner MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Granby Family Practice LLC's NPI active?
- Yes — East Granby Family Practice LLC's NPI (1154308229) is active in the NPPES registry as of the last update on 2013-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.