NPIMap

Individual provider Active NPI

Yelena Pristyazhnyuk

  • Hematology & Oncology Physician
  • Hartford, CT
National Provider Identifier
1184044927
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
65171 Issued in CT
Practice address
HHC Cancer Institute at Hartford Hospital
85 Retreat Ave
Hartford, CT 06106-2555
Phone
(860) 249-6291
Fax
(860) 728-0151
NPI assigned
Apr 20, 2014
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 65171 CT Primary

Addresses

Primary practice location

HHC Cancer Institute at Hartford Hospital
85 Retreat Ave
Hartford, CT 06106-2555

Mailing address

55 Dina CT
Staten Island, NY 10306-1185
Phone (646) 515-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618000926 CT Practitioner - Hematology/Oncology 9931521028 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Hospital CurrentSince Jul 1, 2020 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Jan 11, 2021 Accepting new patients
Hartford Hospital CurrentSince Jul 1, 2020 Accepting new patients
William W Backus Hospital CurrentSince Jan 11, 2021 Accepting new patients
The William W Backus Hospital CurrentSince Jan 11, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Past Accepting new patients
The William W Backus Hospital Past Accepting new patients
Windham Community Memorial Hospital Past Accepting new patients

Locations

85 Retreat Ave
Hartford, CT 06106
Phone (860) 249-6291

85 Jefferson St
Ste 216
Hartford, CT 06106
Phone (437) 983-1090

326 Washington St
Ste Apg
Norwich, CT 06360
Phone (860) 425-5850

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

196 Parkway S
Ste 202
Waterford, CT 06385
Phone (860) 439-0440

5 Founders St
Ste 200
Willimantic, CT 06226
Phone (860) 456-5330

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

5 Founders St
Willimantic, CT 06226
Phone (860) 423-9764

Interoperability endpoints

  • Direct secure messaging: yelena.pristyazhnyuk@xdr.hhchealthdirect.org

Organizations & group practices 9

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 5

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": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1184044927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DINA CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061185",
            "telephone_number": "646-515-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HHC CANCER INSTITUTE AT HARTFORD HOSPITAL",
            "address_2": "85 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062555",
            "telephone_number": "860-249-6291",
            "fax_number": "860-728-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISTYAZHNYUK",
        "first_name": "YELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-20",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "65171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.