ELIZABETH DEGNALL MD NPI 1205463635

NPI Information

NPI: 1205463635
Provider Name: ELIZABETH DEGNALL, MD
Classification: Internal Medicine - 207RG0300X
Specialization: Geriatric Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 21 SOUTH RD
FARMINGTON, CT
ZIP 06032
Phone: (617) 638-6500

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NPI Details

Elizabeth Degnall, MD is a geriatric medicine internal medicine in Farmington, CT with 6 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Elizabeth Degnall, MD NPI is 1205463635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 SOUTH RD
FARMINGTON, CT
ZIP 06032-482
Phone: (617) 638-6500

The NPI 1205463635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2020 and was last updated on 10/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		ETLL-570	MASSACHUSETTS	No
2	207R00000X	Internal Medicine		77579	CONNECTICUT	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	207RG0300X	Internal Medicine	Geriatric Medicine	077579	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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