LEO J. DISTEFANO, III MD – NPI #1760453724
Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
LEO DISTEFANO, III is a physician located in WEST HARTFORD, CT. NPPES has assigned the NPI number 1760453724 to LEO DISTEFANO, III on January 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine
The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 LEO DISTEFANO, III below.
NPI Profile for
LEO J. DISTEFANO, III
(more than 20 years ago)
SUITE 201
WEST HARTFORD, CT 06107 Phone: (860) 561-4300 Fax: (860) 561-1635
Identifiers for LEO DISTEFANO, III
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | ANTHEM BCBS | CT | 01003365CT01 |
| OTHER | CONNECTICARE | CT | 735010 |
| MEDICAID | CT | 00133656100 |
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 |
|---|---|---|
| 2080A0000X - Pediatrics / Adolescent Medicine (Primary) |
CT | 033656 |
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.