Individual provider Active NPI

Gregory Haman, M.D.

  • Internal Medicine Physician
  • Willimantic, CT
National Provider Identifier
1033590773
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
65062 Issued in CT
Practice address
5 Founders St Ste 100
Willimantic, CT 06226-2049
Phone
(860) 423-9764
NPI assigned
Jun 17, 2015
Last updated
May 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125066888 IL
Internal Medicine Physician 207R00000X 65062 CT Primary

Addresses

Primary practice location

5 Founders St Ste 100
Willimantic, CT 06226-2049

Mailing address

1290 Silas Deane Hwy
HHC Cvo Enrollment 1St Floor
Wethersfield, CT 06109

Other practice location 1

5841 S Maryland Ave
Room A700; MC-7082
Chicago, IL 60637-1447
Phone (773) 702-6840

Other practice location 2

5841 S Maryland Ave
Room A700; MC-7082
Chicago, IL 60637-1447
Phone (773) 702-6840

Other practice location 3

Cermak Health Services of Cook County
2800 South California Avenue
Chicago, IL 60608-5107
Phone (773) 674-7488

Other identifiers 1

IdentifierTypeStateIssuer
65062OtherCTCT LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200508001093 CT Practitioner - Internal Medicine 2961702964 Reassigns benefits to 4 organizations
I20210217001220 TX Practitioner - Internal Medicine 2961702964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

5 Founders St
Willimantic, CT 06226-2048
Phone (860) 423-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Windham Community Memorial Hospital, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 3, 2021 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Sep 1, 2022 Accepting new patients
The William W Backus Hospital Current Accepting new patients
The William W Backus Hospital Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
William W Backus Hospital CurrentSince Jun 1, 2020 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 3, 2021 Accepting new patients

Locations

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

5 Founders St
Willimantic, CT 06226
Phone (860) 423-9764

5 Founders St
Ste 100
Willimantic, CT 06226
Phone (860) 423-9764

Interoperability endpoints

  • Direct secure messaging: gregory.haman@xdr.hhchealthdirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1033590773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC CVO ENROLLMENT 1ST FLOOR",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FOUNDERS ST STE 100",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262049",
            "telephone_number": "860-423-9764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_2": "Room A700; MC-7082",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-702-6840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_2": "Room A700; MC-7082",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-702-6840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Cermak Health Services of Cook County",
            "address_2": "2800 South California Avenue",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606085107",
            "country_code": "US",
            "telephone_number": "773-674-7488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMAN",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125066888",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "65062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LIC",
            "identifier": "65062",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.