Individual provider Active NPI

Mark Wolf, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1023016185
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
030531 Issued in CT
Practice address
1000 Asylum Ave
Suite 4319
Hartford, CT 06105-1770
Phone
(860) 714-4440
Fax
(860) 714-8012
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 030531 CT Primary

Addresses

Primary practice location

1000 Asylum Ave
Suite 4319
Hartford, CT 06105-1770

Mailing address

1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770
Phone (860) 714-6581

Other identifiers 1

IdentifierTypeStateIssuer
001305318MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwolf9552@direct.stfranciscare.org Direct

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
I20100511000606 CT Practitioner - Obstetrics/Gynecology 8921136011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital for Special CareGroup PAC ID 7810985637, 51 clinicians

Practice addresses (Care Compare)

1000 Asylum Ave
Suite 1075
Hartford, CT 06105-1770
Phone (860) 714-4327

114 Woodland St
Hartford, CT 06105-1208

142 Hazard Ave
Enfield, CT 06082-4520
Phone (860) 272-2911

148 Hazard Ave
Enfield, CT 06082-4520
Phone (860) 714-2647

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

205 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-6341

2150 Corbin Ave
New Britain, CT 06053-2266
Phone (860) 827-4994

428 Hartford Tpke
Vernon, CT 06066-4841

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 1, 1997 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Obstetrics & Gynecology CurrentSince Jan 1, 1997 Accepting new patients
Hospital for Special Care CurrentSince Aug 27, 2015 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1000 Asylum Ave
Rm 1026
Hartford, CT 06105
Phone (860) 714-4332

1000 Asylum Ave
Ste 4319
Hartford, CT 06105
Phone (860) 714-4440

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761

1000 Asylum Ave
Ste 2109A
West Hartford, CT 06105
Phone (860) 714-5058

Interoperability endpoints

  • Direct secure messaging: mwolf2388772@direct.trinity-health.org
  • FHIR API: https://fhir.hfsc.org/R4/open-Prod

Organizations & group practices 3

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 6

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1023016185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 2109A",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-6581",
            "fax_number": "860-714-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 4319",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-4440",
            "fax_number": "860-714-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "030531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001305318",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwolf9552@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1000 Asylum Ave",
            "address_2": "Suite 4319",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061051770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.