Individual provider Active NPI

Dariush Owlia, M.D.

  • Cardiovascular Disease Physician
  • Hartford, CT
National Provider Identifier
1134129646
Registry record updated Jan 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
017276 Issued in CT
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
781651OtherCTAETNA INS. ID #
P1302020OtherCTOXFORD HEALTHPLANS ID#
OS2420OtherCTHEALTHNET INS. ID#
001172766MedicaidCT
P12038310OtherCTMULTIPLAN ID#
010017276CT01OtherCTANTHEM BC/BS ID#
0184408002OtherCTCIGNA HEALTHPLAN ID#
052169-0446OtherCTCONNECTICARE 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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease PastSince Jul 24, 2006 Accepting new patients
Hartford Hospital PastSince Jun 1, 2017 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.

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

Verify at the official NPI Registry.