Active NPI
Amin R Elashker, DO
- Internal Medicine Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 76537
- Practice address
- 100 Reserve Rd Ste A4
Danbury, CT 06810-5267 - Phone
- (203) 794-1979
- NPI assigned
- Jan 17, 2006
- Last updated
- Jan 29, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 76537 | CT | Primary |
| Internal Medicine Physician | 207R00000X | 197149 | NY |
Addresses
Primary practice location
100 Reserve Rd Ste A4
Danbury, CT 06810-5267
Mailing address
117 Marys Ave
Suite 101
Kingston, NY 12401-5849
Phone (845) 339-1515
Other practice location 1
117 Marys Ave
Suite 101
Kingston, NY 12401-5849
Phone (845) 339-1515
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01821190 | Medicaid | NY | |
| 76537 | Other | CT | LICENSE |
| 197149 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1089 Route 32
Rosendale, NY 12472-9660
Phone (845) 658-9476
117 Marys Ave
Suite 101
Kingston, NY 12401-5849
Phone (845) 339-1515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76537 | CT | MD | Internal Medicine Physician |
| 197149 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danbury Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Rosendale Medical Center Urgent Care | Current | Accepting new patients | |
| Hudson Valley Family Physicians | Internal Medicine | Current | Accepting new patients |
| Prohealth Physicians PC | Internal Medicine | Current | Accepting new patients |
Locations
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
117 Marys Ave
Ste 101
Kingston, NY 12401
Phone (845) 331-5400
Interoperability endpoints
- drelashker@hvfp.medentdirect.com
- https://api.platform.athenahealth.com/19479/brand/2/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Kingston, NY
- NPI 1609968593
-
- Urgent Care Clinic/Center
- Rosendale, NY
- NPI 1497256598
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1114047024
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
- Home Health Agency
- Valhalla, NY
- NPI 1821184839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1093794182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MARYS AVE",
"address_2": "SUITE 101",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015849",
"telephone_number": "845-339-1515",
"fax_number": "845-331-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RESERVE RD STE A4",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105267",
"telephone_number": "203-794-1979"
}
],
"practiceLocations": [
{
"address_1": "117 Marys Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "NY",
"postal_code": "124015849",
"country_code": "US",
"telephone_number": "845-339-1515",
"fax_number": "845-331-1996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELASHKER",
"first_name": "AMIN",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "76537",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "197149",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01821190",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "76537",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "197149",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.