MDLIVE MEDICAL GROUP NM, LLC – NPI #1902209497
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MDLIVE MEDICAL GROUP NM, LLC is a provider located in BLOOMFIELD, CT. NPPES has assigned the NPI number 1902209497 to MDLIVE MEDICAL GROUP NM, LLC on September 29, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 10, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MDLIVE MEDICAL GROUP NM, LLC below.

NPI Profile for
MDLIVE MEDICAL GROUP NM, LLC

NPI Number
1902209497
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MDLIVE MEDICAL GROUP NM, LLC
Primary location
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002-2920
Phone: (800) 400-6354 Fax:
Mailing address
PO BOX 5006
HARTFORD, CT 06102-5006
Phone: (800) 400-6354 Fax: (954) 206-0800
Organization Subpart
No
Authorized Official
SUE-ANN ADRIANS
GP PM
Phone: (800) 400-6354
Updated
Certification Date
Apr 10, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MDLIVE MEDICAL GROUP NM, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM24902021
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208000000X
- Pediatrics
207R00000X
- Internal Medicine
207P00000X
- Emergency Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.