Active NPI
Muzibul Chowdhury, M.D.
- Internal Medicine Physician
- Windsor, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 016876
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2V2685 | Other | CT | HEALTHNET |
| 001168764 | Medicaid | CT | |
| HAS690 | Other | CT | OXFORD |
| 0083796 | Other | CT | AETNA/US HEALTHCARE |
| 010016876CT04 | Other | CT | ANTHEM |
| 712992 | Other | CT | CONNECTICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016876 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Hospital and Medical Center | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| M. Hasan Yekta, M.D. P.C. | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- East Hartford, CT
- NPI 1003010745
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Clinic/Center
- Phoenix, AZ
- NPI 1194906925
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.