Active NPI
Dariush Owlia, M.D.
- Cardiovascular Disease Physician
- Hartford, CT
National Provider Identifier
1134129646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 017276
- Practice address
- 100 Retreat Ave
Suite 811
Hartford, CT 06106-2528 - Phone
- (860) 522-5712
- Fax
- (860) 520-4270
- NPI assigned
- Jul 26, 2005
- Last updated
- Jan 1, 2016
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 017276 | CT | Primary |
Addresses
Primary practice location
100 Retreat Ave
Suite 811
Hartford, CT 06106-2528
Mailing address
1 Whitfield HTS
Avon, CT 06001-3955
Phone (860) 965-2055
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 781651 | Other | CT | AETNA INS. ID # |
| P1302020 | Other | CT | OXFORD HEALTHPLANS ID# |
| OS2420 | Other | CT | HEALTHNET INS. ID# |
| 001172766 | Medicaid | CT | |
| P12038310 | Other | CT | MULTIPLAN ID# |
| 010017276CT01 | Other | CT | ANTHEM BC/BS ID# |
| 0184408002 | Other | CT | CIGNA HEALTHPLAN ID# |
| 052169-0446 | Other | CT | CONNECTICARE INS. ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Heart Physicians, Inc. | Cardiovascular Disease | Past | Accepting new patients |
| Hartford Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Windsor, CT
- NPI 1477588002
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451606400000",
"number": "1134129646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WHITFIELD HTS",
"city": "AVON",
"state": "CT",
"postal_code": "060013955",
"telephone_number": "860-965-2055",
"fax_number": "860-677-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RETREAT AVE",
"address_2": "SUITE 811",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062528",
"telephone_number": "860-522-5712",
"fax_number": "860-520-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWLIA",
"first_name": "DARIUSH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2016-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "017276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS. ID #",
"identifier": "781651",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTHPLANS ID#",
"identifier": "P1302020",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET INS. ID#",
"identifier": "OS2420",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001172766",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN ID#",
"identifier": "P12038310",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS ID#",
"identifier": "010017276CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHPLAN ID#",
"identifier": "0184408002",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE INS. ID #",
"identifier": "052169-0446",
"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 Jan 1, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.