| J Kevin Shushtari, | |
|
326 Washington St, Norwich, CT 06360-2740 | |
| (941) 917-4896 | |
| (941) 917-6884 |
| Full Name | J Kevin Shushtari |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 326 Washington St, Norwich, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417923160 | NPI | - | NPPES |
| 3114253 | Other | AETNA | |
| 001360023 | Medicaid | CT | |
| 110247602 | Other | RAILROAD MEDICARE | |
| 1221925 | Other | UNITED | |
| 010036002CT01 | Other | CT | BLUE CROSS |
| 2V2738 | Other | HEALTHNET | |
| P2832183 | Other | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME121844 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 036002 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Hospital Of Central Connecticut | New britain, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital For Special Care | 7810985637 | 46 |
| Entity Name | Windham Community Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
| Entity Name | The Hospital Of Connecticut At New Britain And Bradley Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Entity Name | The William W Backus Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
| Entity Name | Hospital For Special Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477534089 PECOS PAC ID: 7810985637 Enrollment ID: O20040506000578 |
| Entity Name | Ipc Hospitalists Of New England Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821401761 PECOS PAC ID: 7618051442 Enrollment ID: O20091221000423 |
| Entity Name | Hospital Medicine Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20170802002619 |
| Mailing Address | Practice Location Address |
|---|---|
| J Kevin Shushtari, Po Box 863407, Orlando, FL 32886-3407 Ph: (941) 917-4896 | J Kevin Shushtari, 326 Washington St, Norwich, CT 06360-2740 Ph: (941) 917-4896 |
Michael Philip Sun, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Salem Tpke, Norwich, CT 06360 Phone: 860-886-0023 Fax: 860-886-0024 | |
Dr. Ting Li, M.D., PH.D., F.A.C.C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Lafayette St, Norwich, CT 06360 Phone: 860-572-5400 Fax: 860-245-0001 | |
Ankit Gupta, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 79 Wawecus St Ste 103, Norwich, CT 06360 Phone: 860-886-1862 Fax: 860-886-2046 | |
Dr. Mohammed A Qureshi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331 | |
Kandhasamy Jagathambal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Washington St, Ste 220 Eastern Ct Hematology & Oncology, Norwich, CT 06360 Phone: 860-886-8362 Fax: 860-886-9262 | |
Dr. Paras Satish Bhatt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Ontrobando Ave, Norwich, CT 06360 Phone: 860-889-9180 | |
Maria Sabsay Goral, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Washington St, The William W.backus Hospital, Norwich, CT 06360 Phone: 860-885-6420 Fax: 860-892-6984 |