Individual provider Active NPI

Shahnaz Hussain, M.D.

  • Internal Medicine Physician
  • Newington, CT
National Provider Identifier
1073519658
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024449 Issued in CT
Practice address
18 Cedar St
Newington, CT 06111-2647
Phone
(860) 667-1244
Fax
(860) 666-5153
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024449 CT Primary

Addresses

Primary practice location

18 Cedar St
Newington, CT 06111-2647

Mailing address

300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 667-1244

Other identifiers 12

IdentifierTypeStateIssuer
C01373OtherCTGHMC GRP MEDICARE ID
P1252377OtherCTOXFORD PROV ID
010024449CT04OtherCTBCBS N BCFP PROV ID
050040OtherCTCONNECTICARE PROV ID
0V4120OtherCTHEALTH NET PROV ID
1255448155OtherCTGHMC GRP NPI ID
103714OtherCTWELLCARE MEDICARE
581417OtherCTAETNA REF ID
001244490MedicaidCT
004215324MedicaidCT
01024449OtherCTCIGNA PROV ID
110178633OtherCTRAIL ROAD MEDICARE ID

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
I20100910000715 CT Practitioner - Internal Medicine 4284721325 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024449CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Jan 1, 2016 Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

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

100 Retreat Ave
Ste 100
Hartford, CT 06106
Phone (860) 545-9050

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073519658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENSINGTON AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513916",
            "telephone_number": "860-667-1244",
            "fax_number": "860-666-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CEDAR ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112647",
            "telephone_number": "860-667-1244",
            "fax_number": "860-666-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SHAHNAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "024449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMC GRP MEDICARE ID",
            "identifier": "C01373",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROV ID",
            "identifier": "P1252377",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS N BCFP PROV ID",
            "identifier": "010024449CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE PROV ID",
            "identifier": "050040",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET PROV ID",
            "identifier": "0V4120",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMC GRP NPI ID",
            "identifier": "1255448155",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE",
            "identifier": "103714",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA REF ID",
            "identifier": "581417",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001244490",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004215324",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV ID",
            "identifier": "01024449",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE ID",
            "identifier": "110178633",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.