Active NPI
Padmanabhan Premkumar, M.D.
- Internal Medicine Physician
- Hartford, CT
National Provider Identifier
1265750004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 52847
- Practice address
- 80 Seymour St
Hartford Hospital Medicine Dept
Hartford, CT 06102-5037 - Phone
- (860) 972-2085
- Fax
- (860) 972-5057
- NPI assigned
- May 4, 2010
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52847 | CT | Primary |
Addresses
Primary practice location
80 Seymour St
Hartford Hospital Medicine Dept
Hartford, CT 06102-5037
Mailing address
80 Seymour St
Hartford Hospital Medicine Dept
Hartford, CT 06102-8000
Phone (860) 972-2085
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140711001498 | CT | Practitioner - Internal Medicine | 6901021716 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52847 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Internal Medicine | Current | Accepting new patients |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients |
Interoperability endpoints
- padmanabhan.premkumar@xdr.hhchealthdirect.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.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553385600000",
"number": "1265750004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"address_2": "HARTFORD HOSPITAL MEDICINE DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "860-972-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"address_2": "HARTFORD HOSPITAL MEDICINE DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061025037",
"telephone_number": "860-972-2085",
"fax_number": "860-972-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREMKUMAR",
"first_name": "PADMANABHAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2019-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "52847",
"primary": true
}
],
"identifiers": [],
"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 Mar 24, 2019; 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.