Individual provider Active NPI

Amin R Elashker, DO

  • Internal Medicine Physician
  • Danbury, CT
National Provider Identifier
1093794182
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
76537 Issued in CT
Practice address
100 Reserve Rd Ste A4
Danbury, CT 06810-5267
Phone
(203) 794-1979
NPI assigned
Jan 17, 2006
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01821190MedicaidNY
76537OtherCTLICENSE
197149OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040615000247 NY Practitioner - Internal Medicine 8224011390 Reassigns benefits to 2 organizations
I20240314001648 CT Practitioner - Internal Medicine 8224011390 Reassigns benefits to 1 organization

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
Rosendale Medical Center Urgent CareGroup PAC ID 8426305871, 2 clinicians
Hudson Valley Family PhysiciansGroup PAC ID 7416930581, 2 clinicians

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

LicenseStateTypeSpecialty
76537CTMDInternal Medicine Physician
197149NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Medical Group LLC Internal Medicine CurrentSince Jan 28, 2024 Accepting new patients
Rosendale Medical Center Urgent Care CurrentSince May 1, 2018 Accepting new patients
Hudson Valley Family Physicians Internal Medicine CurrentSince Feb 1, 2003 Accepting new patients
Prohealth Physicians PC Internal Medicine CurrentSince Mar 11, 2024 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

  • Direct secure messaging: drelashker@hvfp.medentdirect.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.