Individual provider Active NPI

Muzibul Chowdhury, M.D.

  • Internal Medicine Physician
  • Windsor, CT
National Provider Identifier
1093730012
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
016876 Issued in CT
Practice address
1060 Day Hill Rd Ste 203
Windsor, CT 06095-5720
Phone
(860) 696-2450
Fax
(860) 696-2460
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 016876 CT
Internal Medicine Physician 207R00000X 016876 CT Primary

Addresses

Primary practice location

1060 Day Hill Rd Ste 203
Windsor, CT 06095-5720

Mailing address

1290 Silas Deane Hwy FL 1
Wethersfield, CT 06109-4337
Phone (860) 972-6970

Other identifiers 6

IdentifierTypeStateIssuer
2V2685OtherCTHEALTHNET
001168764MedicaidCT
HAS690OtherCTOXFORD
0083796OtherCTAETNA/US HEALTHCARE
010016876CT04OtherCTANTHEM
712992OtherCTCONNECTICARE

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
I20040112000265 CT Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9436059706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Hasan Yekta MD PCGroup PAC ID 2668463985, 5 clinicians

Practice addresses (Care Compare)

27 Burnside Ave
East Hartford, CT 06108-3405
Phone (860) 289-7161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016876CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Hospital and Medical Center Current Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Sep 27, 2009 Accepting new patients
M. Hasan Yekta, M.D. P.C. Internal Medicine CurrentSince Jan 15, 2025 Accepting new patients
Shafa Medical Clinic PC Past Accepting new patients

Locations

27 Burnside Ave
East Hartford, CT 06108
Phone (860) 528-7161

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

290 Collins St
Fl 2
Hartford, CT 06105

290 Collins St
Hartford, CT 06105
Phone (860) 246-0500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18519/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1093730012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY FL 1",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-6970",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 DAY HILL RD STE 203",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060955720",
            "telephone_number": "860-696-2450",
            "fax_number": "860-696-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "MUZIBUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "016876",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "016876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V2685",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001168764",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HAS690",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "0083796",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010016876CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "712992",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

Verify at the official NPI Registry.