Samuel K Anyatonwu, MD
Individual provider Active NPI Internal Medicine Physician · Hartford, CT
NPI 1023028933 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023028933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 040617 (CT)
- Practice address
- 85 Seymour St
Suite 1009
Hartford, CT 06106-5501 - Phone
- (860) 728-6674
- Fax
- (860) 522-5755
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Connecticut School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prohealth Physicians PC
Practice addresses (Care Compare)
120 W Main St
Plainville, CT 06062-1944
Phone (860) 747-0411
Hospital & facility affiliations
- Hartford Healthcare at Home
- Bristol Hospital Home Care Agency
- The Hospital of Central Connecticut
- John Dempsey Hospital of the University of Connect
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100623000332 | CT | Practitioner - Internal Medicine | 8921139759 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040617 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Internal Medicine | Current |
Accepting new patients |
Locations
4 Farm Springs Rd
Farmington, CT 06032
Phone (860) 284-5200
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
85 Seymour St
Ste 1009
Hartford, CT 06106
Phone (860) 728-6674
120 W Main St
Plainville, CT 06062
Phone (860) 205-1650
360 N Main St
Southington, CT 06489
Phone (860) 621-1024
360 N Main St
Ste 14
Southington, CT 06489
Phone (860) 378-0165
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- samuel.anyatonwu.npi1023028933.phpct@direct.optumcare.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 040617 | CT | Yes |
Addresses
Primary practice location
85 Seymour St
Suite 1009
Hartford, CT 06106-5501
Mailing address
4 Farm Springs Rd
Farmington, CT 06032-2573
Phone (860) 284-5200
Other providers in Hartford, CT
- Joseph T Anquillare Sr.
- Emily J Anstadt Lutz
- Paul Robert Anthony Jr.
- Varnel Lordan Antoine
- Fnu Anum
- Paula Anzenberg
- Emenyo Apaloo
- Audrey Apanovitch
- John Paul Balbuena Aparece
- Carina Aparicio
All providers in Hartford, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.