Mystic Medical Group, PC
NPI 1902891070 · Internal Medicine Physician · Mystic, CT
Mystic Medical Group, PC is a Internal Medicine Physician organization in Mystic, CT (NPI 1902891070).
Provider details
- NPI number
- 1902891070
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Blum, President(860) 572-8911
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2005-09-15
- Last updated
- 2009-12-22
Frequently asked questions
- What is Mystic Medical Group, PC's NPI number?
- Mystic Medical Group, PC's National Provider Identifier (NPI) is 1902891070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mystic Medical Group, PC?
- Mystic Medical Group, PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mystic Medical Group, PC located?
- Mystic Medical Group, PC's practice location on file with NPPES is 200 Sandy Hollow Rd, Mystic, CT 06355-1720.
- What is Mystic Medical Group, PC's phone number?
- The practice phone number listed in the NPPES registry for Mystic Medical Group, PC is (860) 572-8911.
- Who is the authorized official for Mystic Medical Group, PC?
- The authorized official listed on Mystic Medical Group, PC's NPPES record is Thomas Blum, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mystic Medical Group, PC's NPI active?
- Yes — Mystic Medical Group, PC's NPI (1902891070) is active in the NPPES registry as of the last update on 2009-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.