Ian D Kleinhen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036853 Issued in CT

Practice address

74 Mack St
Windsor, CT 06095-2759

Phone

(860) 298-8830

Fax

(860) 298-9929

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Georgetown University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians

McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Hospital Hospital, Hartford, CT, CCN 070025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ian.kleinhen.1@18878.direct.athenahealth.com

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.

• Ian D Kleinhen MD PLLC

  • Internal Medicine Physician
  • Windsor, CT
  • NPI 1669939369
  Medicare reassignment NPD Authorized official
• Starling Physicians, PLLC

  • Mammography Clinic/Center
  • New Britain, CT
  • NPI 1720182991
  NPD (past)

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

• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1013916808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MACK ST",
            "address_2": "STE 1",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952759",
            "telephone_number": "860-298-8830",
            "fax_number": "860-298-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MACK ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952759",
            "telephone_number": "860-298-8830",
            "fax_number": "860-298-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINHEN",
        "first_name": "IAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001368530",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Hall South
• Kindred Konnections, LLC
• Alexis Marleen Kinney
• Evelyn Kirby
• Saige Kirkland
• Elzbieta K Kneeland, PT
• Monique Knight
• Andy Seung Hoon Koh, DDS
• Anneliis Koiv, LCSW
• Elinor Lenhart Kolbier, LMSW, LCSW

• Internal Medicine Physician in Windsor, CT
• Providers in Windsor, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.

Verify at the official NPI Registry.