Active NPI
Shahnaz Hussain, M.D.
- Internal Medicine Physician
- Newington, CT
National Provider Identifier
1073519658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 024449
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C01373 | Other | CT | GHMC GRP MEDICARE ID |
| P1252377 | Other | CT | OXFORD PROV ID |
| 010024449CT04 | Other | CT | BCBS N BCFP PROV ID |
| 050040 | Other | CT | CONNECTICARE PROV ID |
| 0V4120 | Other | CT | HEALTH NET PROV ID |
| 1255448155 | Other | CT | GHMC GRP NPI ID |
| 103714 | Other | CT | WELLCARE MEDICARE |
| 581417 | Other | CT | AETNA REF ID |
| 001244490 | Medicaid | CT | |
| 004215324 | Medicaid | CT | |
| 01024449 | Other | CT | CIGNA PROV ID |
| 110178633 | Other | CT | RAIL 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024449 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Physicians PLLC | Current | Accepting new patients | |
| Starling Physicians, PLLC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.