Active NPI
Robert A Cushman, M.D.
- Family Medicine Physician
- Hartford, CT
National Provider Identifier
1053372599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 028180
- Practice address
- 99 Woodland St
Hartford, CT 06105-1207 - Phone
- (860) 714-4212
- Fax
- (860) 714-8080
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 028180 | CT | Primary |
Addresses
Primary practice location
99 Woodland St
Hartford, CT 06105-1207
Mailing address
99 Woodland St
Asylum Hill Family Medicine Center, Inc.
Hartford, CT 06105-1207
Phone (860) 714-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001281807 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rcushman14043@direct.stfranciscare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028180 | CT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1053372599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 WOODLAND ST",
"address_2": "ASYLUM HILL FAMILY MEDICINE CENTER, INC.",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051207",
"telephone_number": "860-714-4212",
"fax_number": "860-714-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051207",
"telephone_number": "860-714-4212",
"fax_number": "860-714-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHMAN",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "028180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001281807",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rcushman14043@direct.stfranciscare.org",
"affiliation": "N",
"endpointDescription": "Asylum Hill Family Medicine Center Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "99 Woodland St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061051207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.