Active NPI
Shishir Mathur, M.D.
- Cardiovascular Disease Physician
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 047888
- Practice address
- 27 Sycamore St Ste 400
Glastonbury, CT 06033-7208 - Phone
- (860) 633-0500
- Fax
- (860) 633-5250
- NPI assigned
- Jul 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 047888 | CT | |
| Cardiovascular Disease Physician | 207RC0000X | 047888 | CT | Primary |
Addresses
Primary practice location
27 Sycamore St Ste 400
Glastonbury, CT 06033-7208
Mailing address
27 Sycamore St Ste 400
Glastonbury, CT 06033-7208
Phone (860) 633-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003016957 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500
Hospital & facility affiliations
- Hartford Hospital
- The Hospital of Central Connecticut
- Middlesex Hospital
- Manchester Memorial Hospital
- Windham Community Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047888 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Hospital Multi Specialty Group, Inc | Current | Accepting new patients | |
| Starling Physicians, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Connecticut Heart Physicians, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Cardiovascular Disease | Current | Accepting new patients |
| Starling Physicians PLLC | Current | Accepting new patients | |
| Starling Physicians, PLLC | Past | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients | |
| Healthsouth Men'S Clinic | Past | Accepting new patients | |
| Starling Physicians, PLLC | Past | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation Inc | Past | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
1345 Farmington Ave
Bristol, CT 06010
Phone (860) 585-0000
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
11 South Rd
Farmington, CT 06032
Phone (860) 522-7121
289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477
27 Sycamore St
Ste 400
Glastonbury, CT 06033
Phone (860) 633-0500
95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
2110 Silas Deane Hwy
Rocky Hill, CT 06067
1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477
Interoperability endpoints
- shishir.mathur@xdr.hhchealthdirect.org
- https://epicproxy.hhchealth.org/FHIR/api/FHIR/R4/
- https://fhir-myrecord.cerner.com/r4/ed8d75e5-e406-4ba4-8ab5-2d4dda194818/
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
Cardiovascular Disease
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
-
- Cardiovascular Disease Physician
- Windsor, CT
- NPI 1477588002
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Cardiovascular Disease
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
-
- Clinical Medical Laboratory
- New Britain, CT
- NPI 1437252806
-
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
-
- Specialist
- Fayetteville, NC
- NPI 1851508949
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003016957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SYCAMORE ST STE 400",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060337208",
"telephone_number": "860-633-0500",
"fax_number": "860-633-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 SYCAMORE ST STE 400",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060337208",
"telephone_number": "860-633-0500",
"fax_number": "860-633-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "SHISHIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CT",
"license": "047888",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "047888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003016957",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.