Individual provider Active NPI

Shishir Mathur, M.D.

  • Cardiovascular Disease Physician
  • Glastonbury, CT
National Provider Identifier
1003016957
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
047888 Issued in CT
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1003016957MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000620 CT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022156645 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

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 Hospital, Hartford, CT, CCN 070025
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047888CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Dec 1, 2025 Accepting new patients
Starling Physicians, PLLC Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease CurrentSince Jul 27, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 1, 2017 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
Starling Physicians PLLC CurrentSince Mar 1, 2019 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 PastSince Jul 28, 2015 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

  • Direct secure messaging: shishir.mathur@xdr.hhchealthdirect.org
  • FHIR API: https://epicproxy.hhchealth.org/FHIR/api/FHIR/R4/
  • FHIR API: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.