MARY E TINETTI (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1235114794

MARY E TINETTI (MD) is a healthcare provider. based in New haven, Connecticut. specializing in GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 025669 (CT). The NPI Number for MARY E TINETTI (MD) is 1235114794

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
MARY E TINETTI (MD)
NPI
1235114794
Phone
(203) 688-6361
Address
789 HOWARD AVE
Enumeration Date
7 December 2005
Last Update Date
6 April 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
20386754204405
Graduation Year
1978 (48 years ago)
PAC ID
4486789864
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20100324000566
Address ID
CT065114405NE1450XBXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

131 GERIATRIC MEDICINE in CT

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Provider Addresses for MARY E TINETTI (MD)

  • Primary Care Center, 789, Howard Avenue, New Haven, New Haven County, Connecticut, 06511, United States

    DANA BUILDING, 3RD FL

    NEW HAVEN, CT 065191304

    Phone: (203) 688-6361

    Fax: (203) 688-4209

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100324000566IGeriatric MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7530$0
99239Hospital discharge day management, more than 30 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 06519)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

How do I look up MARY E TINETTI (MD) by NPI?
Use NPI 1235114794 when you need to reference MARY E TINETTI (MD) in forms, claims, or directories.
Is MARY E TINETTI (MD)'s NPI currently valid?
The extract we use shows MARY E TINETTI (MD) as active.
Can you summarize MARY E TINETTI (MD)'s specialty in plain language?
Clinically, the directory lists MARY E TINETTI (MD) with Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY E TINETTI (MD)?
The page summarizes New Haven, Connecticut for MARY E TINETTI (MD); expand the address list for detail.
What if New Haven, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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