Individual provider Active NPI

Sumeet Sanjeev Pawar, M.D.

  • Cardiovascular Disease Physician
  • Mystic, CT
National Provider Identifier
1124433727
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
65594 Issued in CT
Practice address
100 Perkins Farm Dr Ste 301
Mystic, CT 06355-4041
Phone
(860) 572-5400
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD17081 RI
Cardiovascular Disease Physician 207RC0000X 65594 CT Primary

Addresses

Primary practice location

100 Perkins Farm Dr Ste 301
Mystic, CT 06355-4041

Mailing address

100 Perkins Farm Dr Ste 301
Mystic, CT 06355-4041
Phone (860) 572-5400

Other practice location 1

789 Howard Ave
New Haven, CT 06519-1304
Phone (203) 785-6484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 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
I20201120001906 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769601871 Reassigns benefits to 1 organization
I20201123000982 RI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769601871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

100 Perkins Farm Dr
Suite 301
Mystic, CT 06355-4041
Phone (860) 572-5400

45 Wells St
Suite 102
Westerly, RI 02891-2927
Phone (401) 596-4499

Hospital & facility affiliations

  • Westerly Hospital Hospital, Westerly, RI, CCN 410013
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Aug 8, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 8, 2020 Accepting new patients

Locations

100 Perkins Farm Dr
Ste 301
Mystic, CT 06355
Phone (860) 572-5400

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

45 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-4499

35 Wells St
Lowr
Westerly, RI 02891
Phone (401) 348-3865

Interoperability endpoints

  • Direct secure messaging: spawar368339@direct.ynhh.org
  • Direct secure messaging: sumeet.pawar@xdr.hhchealthdirect.org

Organizations & group practices 2

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 8

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124433727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERKINS FARM DR STE 301",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063554041",
            "telephone_number": "860-572-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERKINS FARM DR STE 301",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063554041",
            "telephone_number": "860-572-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Howard Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191304",
            "country_code": "US",
            "telephone_number": "203-785-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWAR",
        "first_name": "SUMEET",
        "middle_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD17081",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "65594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

Verify at the official NPI Registry.