HARTMUT A DOERWALDT (MD) – Family Medicine Physician, NPI 1265496046

HARTMUT A DOERWALDT (MD) is a healthcare provider. based in New london, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. CT044586 (CT). The NPI Number for HARTMUT A DOERWALDT (MD) is 1265496046

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
HARTMUT A DOERWALDT (MD)
NPI
1265496046
Phone
(860) 447-8304
Address
1 SHAWS CV
Enumeration Date
17 April 2006
Last Update Date
15 September 2011

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
8607776977
Graduation Year
1983 (43 years ago)
PAC ID
6800866872
Group Practice PAC ID
7618242777
Professional Enrollment ID
I20070609000075
Address ID
CT060014357AV385XXSTXX400
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

822 FAMILY PRACTICE in CT

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Provider Addresses for HARTMUT A DOERWALDT (MD)

  • Shaw's Cove, Coit Street Historic District, Downtown New London, New London, New London County, Connecticut, 06320, United States

    NEW LONDON, CT 063204902

    Phone: (860) 447-8304

    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: 2007-06-09

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
I20070609000075IFamily PracticeCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes198191$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)143139$0
99203New patient office or other outpatient visit, 30-44 minutes121121$0
81003Automated urinalysis test5957$0
99214Established patient office or other outpatient visit, 30-39 minutes5756$0
View full utilization report →

Insurance plans in this area (ZIP 06320)

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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: 7618242777View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantCT
Physician AssistantCT
Nurse PractitionerCT
-CT
Nurse PractitionerMA
Emergency MedicineCT
Nurse PractitionerRI
Nurse PractitionerNY
Nurse PractitionerCT

Reviews

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Frequently asked questions

Does HARTMUT A DOERWALDT (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HARTMUT A DOERWALDT (MD) uses 1265496046.
Can I rely on HARTMUT A DOERWALDT (MD) being an active provider?
As of the registry snapshot, HARTMUT A DOERWALDT (MD) is marked active.
What is HARTMUT A DOERWALDT (MD) best known for clinically?
Directory data describes HARTMUT A DOERWALDT (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does HARTMUT A DOERWALDT (MD) serve?
HARTMUT A DOERWALDT (MD)'s listing highlights New London, Connecticut; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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