Individual provider Active NPI

John Papandrea, MD

  • Internal Medicine Physician
  • West Hartford, CT
National Provider Identifier
1083638837
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
027436 Issued in CT
Practice address
41 N Main St
Suite 300
West Hartford, CT 06107-1972
Phone
(860) 313-0448
Fax
(860) 313-1464
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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 027436 CT Primary

Addresses

Primary practice location

41 N Main St
Suite 300
West Hartford, CT 06107-1972

Mailing address

41 N Main St
Suite 300
West Hartford, CT 06107-1972
Phone (860) 313-0448

Other identifiers 3

IdentifierTypeStateIssuer
010027436CT02OtherCTANTHEM BLUE SHIELD
001274364MedicaidCT
0V3646OtherHEALTHNET

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpapandrea16852@direct.stfranciscare.org Direct

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
I20100511000045 CT Practitioner - Internal Medicine 8123156262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Medical Associates 2 PCGroup PAC ID 3779486345, 43 clinicians

Practice addresses (Care Compare)

95 Woodland St
FL 1
Hartford, CT 06105-1230
Phone (860) 714-7362

Hospital & facility affiliations

  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Masonicare Home Health and Hospice Inc Hospice, Wallingford, CT, CCN 071516
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027436CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Medical Associates 2 PC Internal Medicine CurrentSince Jun 1, 1999 Accepting new patients
Collins Medical Associates 2 PC Internal Medicine CurrentSince Jun 1, 1999 Accepting new patients
Johnson Professional Associates, PC Internal Medicine Past Accepting new patients

Locations

699A Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-0034

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

41 N Main St
Ste 300
West Hartford, CT 06107
Phone (860) 313-0448

Interoperability endpoints

  • Direct secure messaging: john.papandrea.1@27673.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27673/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1083638837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N MAIN ST",
            "address_2": "SUITE 300",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071972",
            "telephone_number": "860-313-0448",
            "fax_number": "860-313-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N MAIN ST",
            "address_2": "SUITE 300",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071972",
            "telephone_number": "860-313-0448",
            "fax_number": "860-313-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANDREA",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "027436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "010027436CT02",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001274364",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0V3646",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpapandrea16852@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Saint Francis Hospital Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "41 N Main St",
            "address_2": "SUITE 300",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061071972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.