MDLIVE MEDICAL GROUP DE PA – NPI #1992178115
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.

MDLIVE MEDICAL GROUP DE PA is a provider located in BLOOMFIELD, CT. NPPES has assigned the NPI number 1992178115 to MDLIVE MEDICAL GROUP DE PA on November 10, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 7 additional location(s) assigned to this provider which are listed below. 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. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 12, 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 DE PA below.

NPI Profile for
MDLIVE MEDICAL GROUP DE PA

NPI Number
1992178115
Enumeration Date

(more than 10 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 DE PA
Primary location
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002-2920
Phone: (800) 400-6354 Fax:
7 Other location(s):
300 Bellevue Pkwy Ste 135
Wilmington, DE 19809-3704
Phone: (800) 400-6354
525 W Monroe St Ste 1650
Chicago, IL 60661-3647
Phone: (800) 400-6354
310 E 96th St Ste 200
Indianapolis, IN 46240-0120
Phone: (800) 400-6354
90 Canal St Ste 4
Boston, MA 02114-2022
Phone: (800) 400-6354
4500 Forbes Blvd Ste 200
Lanham, MD 20706-6316
Phone: (800) 400-6354
18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone: (800) 400-6354
1661 International Dr Ste 400
Memphis, TN 38120-1431
Phone: (800) 400-6354
Mailing address
PO BOX 5006
HARTFORD, CT 06102-5006
Phone: Fax:
Organization Subpart
No
Authorized Official
SUE-ANN ADRIANS
GOVERNMENT PROGRAMS PM
Phone: (945) 275-1345
Updated
Certification Date
May 12, 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 DE PA

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
medicaidAZ335824
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.

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.