| Hospitalist Medicine Physicians Of Connecticut, Llc | |
|
71 Haynes St Manchester CT 06040-4131 | |
| (860) 646-1222 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Connecticut, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 71 Haynes St, Manchester, Connecticut |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR OF PAYER ENROLLMENT) |
| Authorized Official Contact | 6155776340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Connecticut, Llc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5600 | Hospitalist Medicine Physicians Of Connecticut, Llc 71 Haynes St Manchester CT 06040-4131 Ph: (860) 646-1222 |
| NPI Number | 1558696153 |
|---|---|
| Provider Enumeration Date | 10/15/2009 |
| Last Update Date | 05/19/2021 |
| Medicare PECOS PAC ID | 8628104072 |
|---|---|
| Medicare Enrollment ID | O20100325000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558696153 | NPI | - | NPPES |
| Provider Name | Cynthia Marie Grindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982682092 PECOS PAC ID: 5991602336 Enrollment ID: I20031215000715 |
| Provider Name | Rosamond Everard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184657868 PECOS PAC ID: 6204828155 Enrollment ID: I20040331001087 |
| Provider Name | Faria A Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427020080 PECOS PAC ID: 3870555899 Enrollment ID: I20041102000525 |
| Provider Name | Yaw Adjepong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831168996 PECOS PAC ID: 3072564228 Enrollment ID: I20050204000028 |
| Provider Name | Savita N Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902874076 PECOS PAC ID: 1355381401 Enrollment ID: I20050509000039 |
| Provider Name | Roula G Rizk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265440986 PECOS PAC ID: 3072547843 Enrollment ID: I20050921000445 |
| Provider Name | Lily Singhaviranon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508883398 PECOS PAC ID: 5193740793 Enrollment ID: I20051012001157 |
| Provider Name | Victorio G Te |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316918089 PECOS PAC ID: 0648252023 Enrollment ID: I20060308000693 |
| Provider Name | John Machado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558324046 PECOS PAC ID: 2062437684 Enrollment ID: I20060516000012 |
| Provider Name | Richard T Ruffin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386686129 PECOS PAC ID: 1052323326 Enrollment ID: I20060705000187 |
| Provider Name | Sheikh Hoq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265470561 PECOS PAC ID: 7618980384 Enrollment ID: I20060725000043 |
| Provider Name | Kismatkumar Detroja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497774657 PECOS PAC ID: 5193738417 Enrollment ID: I20060802000483 |
| Provider Name | Debmalya Mukherjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356371744 PECOS PAC ID: 2163427014 Enrollment ID: I20070314000449 |
| Provider Name | Raja S Manne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518078831 PECOS PAC ID: 3375544406 Enrollment ID: I20070907000041 |
| Provider Name | Rita Ohene-adjei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326248980 PECOS PAC ID: 9638265390 Enrollment ID: I20071011000423 |
| Provider Name | Swarupa R Vedere |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770703423 PECOS PAC ID: 8325134422 Enrollment ID: I20071022000096 |
| Provider Name | Victor I Rossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750338109 PECOS PAC ID: 1052323425 Enrollment ID: I20080116000068 |
| Provider Name | Greta Boynton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801854773 PECOS PAC ID: 9234156878 Enrollment ID: I20080220000055 |
| Provider Name | Munish K Shastri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649280538 PECOS PAC ID: 5799840575 Enrollment ID: I20090211000016 |
| Provider Name | Gwenn I Drapeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982859401 PECOS PAC ID: 7214094341 Enrollment ID: I20090317000430 |
| Provider Name | Ramin Ahmadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124009451 PECOS PAC ID: 0547224032 Enrollment ID: I20090408000504 |
| Provider Name | Katherine A Flanagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407968639 PECOS PAC ID: 9739242199 Enrollment ID: I20090616000439 |
| Provider Name | Sheila A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639317787 PECOS PAC ID: 0648319277 Enrollment ID: I20091120000173 |
| Provider Name | Cesar F Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689861866 PECOS PAC ID: 4880733971 Enrollment ID: I20091203000019 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20100128000144 |
| Provider Name | Paula L Chakerian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942484084 PECOS PAC ID: 1557408523 Enrollment ID: I20100330000912 |
| Provider Name | Pampana Gowd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043499460 PECOS PAC ID: 9931245925 Enrollment ID: I20100809000084 |
| Provider Name | Kristin Giannini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881662443 PECOS PAC ID: 3375667140 Enrollment ID: I20100831000399 |
| Provider Name | Priya Mohani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497938971 PECOS PAC ID: 9335265644 Enrollment ID: I20100923001248 |
| Provider Name | Sameer Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760647176 PECOS PAC ID: 3870639941 Enrollment ID: I20100924000050 |
| Provider Name | Giles W Mcneill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417022716 PECOS PAC ID: 5597861989 Enrollment ID: I20101115000297 |
| Provider Name | Emily Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144386541 PECOS PAC ID: 4789724386 Enrollment ID: I20110418000728 |
| Provider Name | Salah S Alsalahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235395211 PECOS PAC ID: 8224212105 Enrollment ID: I20110419000032 |
| Provider Name | Iulian C Giuran Benetato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568691152 PECOS PAC ID: 7012050958 Enrollment ID: I20110421000186 |
| Provider Name | Zeba T Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801199203 PECOS PAC ID: 7618153412 Enrollment ID: I20110511000837 |
| Provider Name | Louise Noeddegaard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508049222 PECOS PAC ID: 0446420558 Enrollment ID: I20110829000455 |
| Provider Name | Moe T Kyaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184911455 PECOS PAC ID: 2860662426 Enrollment ID: I20110909002389 |
| Provider Name | Kumuda Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548424484 PECOS PAC ID: 7113105081 Enrollment ID: I20111018000596 |
| Provider Name | Nermina Bukalo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659340651 PECOS PAC ID: 7618901893 Enrollment ID: I20120411000431 |
| Provider Name | Zhenghao Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083982631 PECOS PAC ID: 1052574555 Enrollment ID: I20120521000338 |
| Provider Name | Paul Fiore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669601811 PECOS PAC ID: 7719142884 Enrollment ID: I20120625000117 |
| Provider Name | David Inyangetor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265692172 PECOS PAC ID: 6002071073 Enrollment ID: I20120626000576 |
| Provider Name | William A Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033402862 PECOS PAC ID: 7911163688 Enrollment ID: I20120724000819 |
| Provider Name | Todd A Bickmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952315632 PECOS PAC ID: 7315840469 Enrollment ID: I20130322000064 |
| Provider Name | Craig B Moskowitz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1700106812 PECOS PAC ID: 5496996647 Enrollment ID: I20130730000931 |
| Provider Name | Asma Iftikhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427344761 PECOS PAC ID: 2163664715 Enrollment ID: I20130809000393 |
| Provider Name | Sujata Kale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386805299 PECOS PAC ID: 3173767613 Enrollment ID: I20130923000642 |
| Provider Name | Kalpesh A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366785800 PECOS PAC ID: 7113151242 Enrollment ID: I20131003000417 |
| Provider Name | Roy I Sittig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740291376 PECOS PAC ID: 9537139407 Enrollment ID: I20131105000953 |
| Provider Name | Sita Singhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346568961 PECOS PAC ID: 0749417558 Enrollment ID: I20131223001468 |
| Provider Name | Igor Georgievskiy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942431903 PECOS PAC ID: 8022231935 Enrollment ID: I20140522000396 |
| Provider Name | Astou Seye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679868988 PECOS PAC ID: 0547484230 Enrollment ID: I20140619002242 |
| Provider Name | Mukti J Patel-prineas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083932990 PECOS PAC ID: 0840439840 Enrollment ID: I20140707000747 |
| Provider Name | Monica Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20140717000920 |
| Provider Name | Imedla Angelica P Cirilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962780940 PECOS PAC ID: 3678714698 Enrollment ID: I20140814000082 |
| Provider Name | Chad Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942592514 PECOS PAC ID: 1759500994 Enrollment ID: I20140919001552 |
| Provider Name | Navin K Gazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508183146 PECOS PAC ID: 5092934026 Enrollment ID: I20140924000084 |
| Provider Name | Leomerto A Somera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306118302 PECOS PAC ID: 3072733294 Enrollment ID: I20141009001548 |
| Provider Name | Tuba Khawaja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982049805 PECOS PAC ID: 0345461075 Enrollment ID: I20141022002234 |
| Provider Name | Lakshmi Polisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508158833 PECOS PAC ID: 6901027531 Enrollment ID: I20141024001301 |
| Provider Name | Shrutie Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306241872 PECOS PAC ID: 3476876764 Enrollment ID: I20141217001210 |
| Provider Name | Gopal C Sarker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316929607 PECOS PAC ID: 1850340456 Enrollment ID: I20150616002535 |
| Provider Name | Samuel Antwi-boasiako |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700152063 PECOS PAC ID: 7810208253 Enrollment ID: I20150625001757 |
| Provider Name | Mohammad Zakaria Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972894558 PECOS PAC ID: 6103131180 Enrollment ID: I20150820009694 |
| Provider Name | Farhan Zahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811250897 PECOS PAC ID: 1355659897 Enrollment ID: I20151001002077 |
| Provider Name | Nadine S Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487027678 PECOS PAC ID: 4082919097 Enrollment ID: I20160229000853 |
| Provider Name | Manjunath Muddaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992149702 PECOS PAC ID: 9931411618 Enrollment ID: I20160317001971 |
| Provider Name | Victor Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225463326 PECOS PAC ID: 9931404431 Enrollment ID: I20160614000030 |
| Provider Name | Patrick Twum-barimah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003253931 PECOS PAC ID: 6709178940 Enrollment ID: I20160708001690 |
| Provider Name | Naveen Gnanabakthan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104267079 PECOS PAC ID: 3072807882 Enrollment ID: I20160802001251 |
| Provider Name | Gagan Jot Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457621492 PECOS PAC ID: 5698926723 Enrollment ID: I20160802001348 |
| Provider Name | Lokesh Mahendrakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043549850 PECOS PAC ID: 5890933436 Enrollment ID: I20160926001952 |
| Provider Name | Tatiana Canning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245263730 PECOS PAC ID: 1254382781 Enrollment ID: I20161003001312 |
| Provider Name | Riffat Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447517321 PECOS PAC ID: 6608164017 Enrollment ID: I20161017002615 |
| Provider Name | Rahul Chakraverty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518301985 PECOS PAC ID: 5890073852 Enrollment ID: I20161026000485 |
| Provider Name | Zohra Salehi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477993582 PECOS PAC ID: 5496034019 Enrollment ID: I20161122000752 |
| Provider Name | Seyedeh S Hosseini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255598835 PECOS PAC ID: 4183760705 Enrollment ID: I20161230000333 |
| Provider Name | Kelly L Bolton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215372263 PECOS PAC ID: 9638451826 Enrollment ID: I20170124000794 |
| Provider Name | Oladipo Fadayomi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316383565 PECOS PAC ID: 8820391634 Enrollment ID: I20170216000082 |
| Provider Name | Ruth G Benet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851711329 PECOS PAC ID: 1850617333 Enrollment ID: I20170501000323 |
| Provider Name | Meena Azeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639513187 PECOS PAC ID: 5395047377 Enrollment ID: I20170606002198 |
| Provider Name | Ruibo Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841600376 PECOS PAC ID: 5799053146 Enrollment ID: I20170608000586 |
| Provider Name | Dina Hammad Ahmed Abdelwahab Elhamahmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801050208 PECOS PAC ID: 0042335440 Enrollment ID: I20170613001517 |
| Provider Name | Saad A Qadwai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578962601 PECOS PAC ID: 1658643572 Enrollment ID: I20170828000397 |
| Provider Name | Ruxandra Pascanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477972537 PECOS PAC ID: 4183944135 Enrollment ID: I20170905003073 |
| Provider Name | Andrey Pavlov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174818520 PECOS PAC ID: 7214200328 Enrollment ID: I20170911002708 |
| Provider Name | Jessica Veulens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659790251 PECOS PAC ID: 5294055745 Enrollment ID: I20170913000079 |
| Provider Name | Himanshu Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689089146 PECOS PAC ID: 0941520522 Enrollment ID: I20171010000168 |
| Provider Name | Besiana L Liti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689937278 PECOS PAC ID: 4486966504 Enrollment ID: I20171011000296 |
| Provider Name | Mehmet C Guzelbeyoglu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174621130 PECOS PAC ID: 8426019001 Enrollment ID: I20171027000329 |
| Provider Name | John Snowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124425889 PECOS PAC ID: 8224394226 Enrollment ID: I20171108000118 |
| Provider Name | Kirubakaran Siva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649657594 PECOS PAC ID: 1153621073 Enrollment ID: I20171117001996 |
| Provider Name | Shannon M Rayman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932595162 PECOS PAC ID: 3476853102 Enrollment ID: I20171221001077 |
| Provider Name | Jay V Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386082774 PECOS PAC ID: 6608140009 Enrollment ID: I20180130000590 |
| Provider Name | Mark T Mauriello |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255627618 PECOS PAC ID: 5991923849 Enrollment ID: I20180131000811 |
| Provider Name | Jorge Ernesto Perez Torres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497041370 PECOS PAC ID: 3173824760 Enrollment ID: I20180212000060 |
| Provider Name | Shean L Barrett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568780922 PECOS PAC ID: 2264669001 Enrollment ID: I20180223000498 |
| Provider Name | Graeme Stuart Mchenry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861809683 PECOS PAC ID: 3678874534 Enrollment ID: I20180412001962 |
| Provider Name | Deqing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811048622 PECOS PAC ID: 4486849049 Enrollment ID: I20180530001646 |
| Provider Name | Shardul Gadhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801229604 PECOS PAC ID: 8527284603 Enrollment ID: I20180607001121 |
| Provider Name | Anthony Kyle Sampino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982081832 PECOS PAC ID: 7315247533 Enrollment ID: I20180627000589 |
| Provider Name | Shweta Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780038620 PECOS PAC ID: 2860749264 Enrollment ID: I20180717000707 |
| Provider Name | Phillip Ulyanovskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821471665 PECOS PAC ID: 8325395403 Enrollment ID: I20180719003927 |
| Provider Name | John Hasychak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568858959 PECOS PAC ID: 3274834130 Enrollment ID: I20180730001635 |
| Provider Name | Laury Rosefort |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942575253 PECOS PAC ID: 1052606746 Enrollment ID: I20180802001905 |
| Provider Name | Perry Torng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811381858 PECOS PAC ID: 9638479454 Enrollment ID: I20180808003380 |
| Provider Name | Farah Ahmedi Chinwalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609038462 PECOS PAC ID: 6204151061 Enrollment ID: I20180815002207 |
| Provider Name | Ravi Mangal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710304191 PECOS PAC ID: 1658597653 Enrollment ID: I20180822002296 |
| Provider Name | Rohan Arjun Bhojwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578942504 PECOS PAC ID: 3971854159 Enrollment ID: I20180927001093 |
| Provider Name | Sheby Sara Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649682436 PECOS PAC ID: 9234417734 Enrollment ID: I20180927002363 |
| Provider Name | Timothy W Chapados |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295112761 PECOS PAC ID: 1951601780 Enrollment ID: I20180927002682 |
| Provider Name | Anita Haugabrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710442 PECOS PAC ID: 6608789292 Enrollment ID: I20181002001981 |
| Provider Name | Christopher D. Sakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407068141 PECOS PAC ID: 7416040043 Enrollment ID: I20181115000091 |
| Provider Name | Christopher T Faludi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497121743 PECOS PAC ID: 1052665700 Enrollment ID: I20181126001339 |
| Provider Name | Larry Joe Maturani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750597019 PECOS PAC ID: 9436231735 Enrollment ID: I20181203001770 |
| Provider Name | Lazarus O Onwuka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700269362 PECOS PAC ID: 2365790383 Enrollment ID: I20181218001268 |
| Provider Name | Ang Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003282427 PECOS PAC ID: 0648522631 Enrollment ID: I20181218001594 |
| Provider Name | Bruce Abramowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801276167 PECOS PAC ID: 3971803875 Enrollment ID: I20181227000755 |
| Provider Name | Amee Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760627814 PECOS PAC ID: 9931388303 Enrollment ID: I20190103001906 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20190115000840 |
| Provider Name | Saqib Inayatullah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235336934 PECOS PAC ID: 8224128350 Enrollment ID: I20190211001242 |
| Provider Name | Rajiv Matthew Mallipudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760845747 PECOS PAC ID: 0446583942 Enrollment ID: I20190617001404 |
| Provider Name | Mehdi Momen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396130969 PECOS PAC ID: 5496007882 Enrollment ID: I20190619001735 |
| Provider Name | Alexandra Zacchera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306208327 PECOS PAC ID: 7911233465 Enrollment ID: I20190723000199 |
| Provider Name | Marcus Michael Lyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386093904 PECOS PAC ID: 4880982735 Enrollment ID: I20190830002113 |
| Provider Name | Nonso Ernest Egbuonu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558689349 PECOS PAC ID: 4789828112 Enrollment ID: I20191212000415 |
| Provider Name | Obinna Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093179111 PECOS PAC ID: 1052656006 Enrollment ID: I20200428001881 |
| Provider Name | Kalyan Pundla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306137435 PECOS PAC ID: 8325218415 Enrollment ID: I20200805001316 |
| Provider Name | Nathan Lemay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205361532 PECOS PAC ID: 8123448370 Enrollment ID: I20201009000378 |
| Provider Name | Collins C Onwuka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366054009 PECOS PAC ID: 3779994876 Enrollment ID: I20201120002032 |
| Provider Name | Redi Md Ferizaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568950350 PECOS PAC ID: 6709133994 Enrollment ID: I20210419001256 |
| Provider Name | Umair Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710475702 PECOS PAC ID: 4880095496 Enrollment ID: I20210701003664 |
| Provider Name | Jackson Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710480892 PECOS PAC ID: 3678976735 Enrollment ID: I20210727001951 |
| Provider Name | Thanh Van Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528552411 PECOS PAC ID: 6305243635 Enrollment ID: I20210929000393 |
| Provider Name | Stephen Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518035468 PECOS PAC ID: 0143369546 Enrollment ID: I20211029001657 |
| Provider Name | Mahmoud Salah El Iskandarani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821519364 PECOS PAC ID: 4385069400 Enrollment ID: I20220420001050 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20220707001225 |
| Provider Name | Kareem Bazzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639466436 PECOS PAC ID: 3274759428 Enrollment ID: I20220707001321 |
| Provider Name | Irena Muca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740661982 PECOS PAC ID: 9537432984 Enrollment ID: I20220707001402 |
| Provider Name | Ahmed Ewida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720462021 PECOS PAC ID: 2264781764 Enrollment ID: I20220908002171 |
| Provider Name | Erin Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396232476 PECOS PAC ID: 8628453586 Enrollment ID: I20220914001338 |
| Provider Name | Ali Ghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013392018 PECOS PAC ID: 8628382546 Enrollment ID: I20220927002211 |
| Provider Name | Uchechukwu Egbujo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497231211 PECOS PAC ID: 8628479789 Enrollment ID: I20221213001644 |
| Provider Name | Fatima Asif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528429446 PECOS PAC ID: 2163706920 Enrollment ID: I20230215000750 |
| Provider Name | John Tyree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995769 PECOS PAC ID: 6800022039 Enrollment ID: I20230217001085 |
| Provider Name | Lizeth Diaz Ledesma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700085784 PECOS PAC ID: 0042385684 Enrollment ID: I20230221001371 |
| Provider Name | Jamie A Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619120276 PECOS PAC ID: 4880865898 Enrollment ID: I20230221001456 |
| Provider Name | Hitesh Avaiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916415 PECOS PAC ID: 6406028893 Enrollment ID: I20230221001695 |
| Provider Name | Syed Tayyab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780952994 PECOS PAC ID: 0345468815 Enrollment ID: I20230531000645 |
| Provider Name | Roshan Lala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053654590 PECOS PAC ID: 6204056880 Enrollment ID: I20230602001783 |
| Provider Name | Raymond Mobley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649650862 PECOS PAC ID: 6002196649 Enrollment ID: I20230605001794 |
| Provider Name | Sathyanarayanan N Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629209309 PECOS PAC ID: 2668620121 Enrollment ID: I20230615001985 |
| Provider Name | Anjali Bhateja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285924126 PECOS PAC ID: 8426345901 Enrollment ID: I20230627003176 |
| Provider Name | Chioma Udogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487825667 PECOS PAC ID: 2163588963 Enrollment ID: I20231030002563 |
| Provider Name | Ibrahim Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356962393 PECOS PAC ID: 4880041078 Enrollment ID: I20231109001435 |
| Provider Name | Rizwan Ahamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205210341 PECOS PAC ID: 9931486875 Enrollment ID: I20231122001832 |
| Provider Name | Ruben Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295855401 PECOS PAC ID: 5294900445 Enrollment ID: I20240215003239 |
Vernon Manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 W Center St, Manchester, CT 06040 Phone: 860-871-0385 | |
Jeffrey H. Katz, M.d., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 595 Main St, Manchester, CT 06040 Phone: 860-646-1000 Fax: 860-645-1120 | |
Viruet Ivelisse Md Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 153 Main St, Suite 8, Manchester, CT 06042 Phone: 860-432-5803 Fax: 860-432-5803 | |
Klipstein Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 272 Main St, Manchester, CT 06042 Phone: 860-646-8044 Fax: 860-643-4891 | |
Ali Shakibai, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Main St, Suite 205, Manchester, CT 06040 Phone: 860-649-8074 Fax: 860-647-1129 | |
Digestive Health Specialists Of Eastern Connecticut Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 Main St, Manchester, CT 06040 Phone: 860-649-3477 | |
Everwell Integrated Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 866-603-4163 |