Active NPI
Imran A. Hafeez, M.D.
- Family Medicine Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301082118
- Practice address
- 399 Farmington Ave
Farmington, CT 06032-1936 - Phone
- (860) 284-0220
- NPI assigned
- May 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | 049446 | CT | |
| Family Medicine Physician | 207Q00000X | 4301082118 | MI | Primary |
Addresses
Primary practice location
399 Farmington Ave
Farmington, CT 06032-1936
Mailing address
399 Farmington Ave
Farmington, CT 06032-1936
Phone (860) 284-0220
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ihafeez7343@connecticutchildrens.direct-ci.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of North Dakota School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144
676 Hebron Ave
Glastonbury, CT 06033-2410
Phone (860) 696-2060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049446 | CT | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Past | Accepting new patients |
Locations
676 Hebron Ave
#1
Glastonbury, CT 06033
Phone (860) 696-2250
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
Organizations & group practices 4
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.
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Family Medicine
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- 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": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1275747925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321936",
"telephone_number": "860-284-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321936",
"telephone_number": "860-284-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFEEZ",
"first_name": "IMRAN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "CT",
"license": "049446",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301082118",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ihafeez7343@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "399 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060321936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.