Active NPI
Walter Trymbulak, MD
- Obstetrics & Gynecology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 042231
- Practice address
- 1000 Asylum Ave
Suite 4319
Hartford, CT 06105-1770 - Phone
- (860) 714-4440
- Fax
- (860) 714-8012
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 042231 | CT | Primary |
Addresses
Primary practice location
1000 Asylum Ave
Suite 4319
Hartford, CT 06105-1770
Mailing address
1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770
Phone (860) 714-6581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001422310 | Medicaid | CT |
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
- Obstetrics/Gynecology
- Education
- University of Connecticut School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
428 Hartford Tpke
Vernon, CT 06066-4841
Hospital & facility affiliations
- St Francis Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Saint Francis Emergency Medical Group, Inc. | Past | Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
1000 Asylum Ave
Ste 4319
Hartford, CT 06105
Phone (860) 714-4440
2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761
1000 Asylum Ave
Ste 2109A
West Hartford, CT 06105
Phone (860) 714-5058
Interoperability endpoints
- wtrymbulak2382693@direct.trinity-health.org
Organizations & group practices 3
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
- Hartford, CT
- NPI 1003882812
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Emergency Medicine Physician
- Hartford, CT
- NPI 1356634737
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1104824168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "SUITE 2109A",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-714-6581",
"fax_number": "860-714-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "SUITE 4319",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-714-4440",
"fax_number": "860-714-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRYMBULAK",
"first_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "042231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001422310",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.