Individual provider Active NPI

Andrew J Nelson, M.D.

  • Orthopaedic Hand Surgery Physician
  • Waterbury, CT
National Provider Identifier
1053308361
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
36972 Issued in CT
Practice address
500 Chase Parkway
Noss
Waterbury, CT 06708-3119
Phone
(203) 755-7115
Fax
(203) 755-7067
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 36972 CT Primary

Addresses

Primary practice location

500 Chase Parkway
Noss
Waterbury, CT 06708-3119

Mailing address

1320 West Main St
Noss
Waterbury, CT 06708-3119
Phone (203) 755-7115

Other identifiers 1

IdentifierTypeStateIssuer
C00071OtherCTMEDICARE GROUP NUMBER

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
I20040701001048 CT Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4486631017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Boston University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

1 Lake St
New Britain, CT 06052-1396
Phone (860) 832-7466

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-6623

Hospital & facility affiliations

  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36972CTMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Oct 1, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Oct 1, 2020 Accepting new patients
Starling Physicians PLLC CurrentSince Aug 1, 2020 Accepting new patients
Starling Physicians, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Novella Medicine Services of Massachusetts, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

2110 Silas Deane Hwy
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: andrew.nelson@xdr.hhchealthdirect.org
  • Direct secure messaging: anelson@noss.emrgedirect.com
  • Direct secure messaging: anelson@direct.wtbyhosp.org

Organizations & group practices 7

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 2

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1053308361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WEST MAIN ST",
            "address_2": "NOSS",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083119",
            "telephone_number": "203-755-7115",
            "fax_number": "203-755-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHASE PARKWAY",
            "address_2": "NOSS",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083119",
            "telephone_number": "203-755-7115",
            "fax_number": "203-755-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "36972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C00071",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.