OrganizationActive
Pediatric Partners, LLC
NPI 1568805059 · Pediatric Adolescent Medicine Physician · Bloomfield, CT
Provider details
- NPI number
- 1568805059
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scott Kallor, DO / Owner(860) 286-0444
- License
- 042001 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
705 Bloomfield Ave
Suite 101
Bloomfield, CT 06002-2479
Phone: (860) 286-0444
Fax: (860) 286-0464
Street-level locationGet directions
Mailing address
705 Bloomfield Ave
Bloomfield, CT 06002-2479
Registry dates
- Enumerated
- 2013-04-15
- Last updated
- 2013-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.