Individual provider Active NPI

Andrew Feller, MD

  • Family Medicine Physician
  • East Hartford, CT
National Provider Identifier
1093778722
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036756 Issued in CT
Practice address
893 Main St
Suite 101
East Hartford, CT 06108-2292
Phone
(860) 528-2138
Fax
(860) 528-0514
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036756 CT Primary

Addresses

Primary practice location

893 Main St
Suite 101
East Hartford, CT 06108-2292

Mailing address

893 Main St Ste 101
East Hartford, CT 06108-2293
Phone (860) 714-9107

Other identifiers 1

IdentifierTypeStateIssuer
001367566MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afeller16396@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
I20070315000336 CT Practitioner - Family Practice 1052414836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asylum Hill Family Medicine Center, Inc.Group PAC ID 9032016134, 24 clinicians

Practice addresses (Care Compare)

740 Main St
East Hartford, CT 06108-3140
Phone (860) 291-7325

893 Main St
Suite 101
East Hartford, CT 06108-2293
Phone (860) 528-2138

Hospital & facility affiliations

  • Trinity Health of New England at Home Home health agency, Hartford, CT, CCN 077005
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asylum Hill Family Medicine Center Inc Family Medicine CurrentSince Feb 26, 2007 Accepting new patients
Town of East Hartford CurrentSince Aug 30, 2023 Accepting new patients
Asylum Hill Family Medicine Center Inc Past Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients

Locations

740 Main St
East Hartford, CT 06108
Phone (860) 291-7324

99 Woodland St
Hartford, CT 06105
Phone (860) 714-4212

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

893 Main St
Ste 101
Hartford, CT 06108
Phone (860) 528-2128

Interoperability endpoints

  • Direct secure messaging: afeller2387986@direct.trinity-health.org

Organizations & group practices 4

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 5

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1093778722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 MAIN ST STE 101",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082293",
            "telephone_number": "860-714-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST",
            "address_2": "SUITE 101",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082292",
            "telephone_number": "860-528-2138",
            "fax_number": "860-528-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "036756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001367566",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afeller16396@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Family Medicine Center at East Hartford Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "893 Main St",
            "address_2": "Suite 101",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061082292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.