NPIMap

Individual provider Active NPI

Waile Ramadan, M.D.

  • Internal Medicine Physician
  • Torrington, CT
National Provider Identifier
1083906416
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
052878 Issued in CT
Practice address
52 Peck Rd
Torrington, CT 06790-6107
Phone
(860) 489-6899
NPI assigned
May 4, 2011
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 052878 CT Primary

Addresses

Primary practice location

52 Peck Rd
Torrington, CT 06790-6107

Mailing address

43 Bart Dr
Collinsville, CT 06019-3045
Phone (917) 573-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723001656 CT Practitioner - HospitalistPractitioner - Internal Medicine 0446476790 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (860) 364-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052878CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Aug 28, 2023 Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Prohealth Physicians PC Internal Medicine CurrentSince Jul 19, 2021 Accepting new patients
Starling Physicians PLLC CurrentSince Dec 1, 2018 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Jul 17, 2014 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Jul 17, 2014 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jul 1, 2019 Accepting new patients
Vassar Health Connecticut, Inc. Past Accepting new patients

Locations

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

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

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

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

2110 Silas Deane Hwy
Rocky Hill, CT 06067

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

52 Peck Rd
Torrington, CT 06790
Phone (860) 489-4022

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

Interoperability endpoints

  • Direct secure messaging: waile.ramadan.npi1083906416.phpct@direct.optumcare.masshiway.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1083906416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BART DR",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193045",
            "telephone_number": "917-573-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906107",
            "telephone_number": "860-489-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMADAN",
        "first_name": "WAILE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "052878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.