Active NPI
Syeda Dania Shujaat
- Neurology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 069500
- Practice address
- 85 Seymour Street
Hartford Hospital Neurology Dept
Hartford, CT 06106-5527 - Phone
- (860) 972-3621
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 180046503 | OK | |
| Neurocritical Care Physician | 2084A2900X | 069500 | CT | |
| Neurology Physician | 2084N0400X | 069500 | CT | Primary |
Addresses
Primary practice location
85 Seymour Street
Hartford Hospital Neurology Dept
Hartford, CT 06106-5527
Mailing address
85 Seymour Street
Hartford Hospital Neurology Dept
Hartford, CT 06106-5527
Phone (860) 972-3621
Other practice location 1
80 Seymour Street
Hartford Hospital Neurology Dept
Hartford, CT 06102-8000
Phone (860) 972-3621
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
- Neurology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
85 Seymour St
Hartford, CT 06106-5501
Hospital & facility affiliations
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 |
|---|---|---|---|
| 180046503 | OK | MD | Internal Medicine Physician |
| 069500 | CT | MD | Neurocritical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Internal Medicine | Current | Accepting new patients |
| Hartford Hospital | Current | Accepting new patients |
Locations
85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- syeda.shujaat@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 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
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": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1285082891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SEYMOUR STREET",
"address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065527",
"telephone_number": "860-972-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR STREET",
"address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065527",
"telephone_number": "860-972-3621"
}
],
"practiceLocations": [
{
"address_1": "80 Seymour Street",
"address_2": "Hartford Hospital Neurology Dept",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061028000",
"country_code": "US",
"telephone_number": "860-972-3621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUJAAT",
"first_name": "SYEDA DANIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "180046503",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "CT",
"license": "069500",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "069500",
"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 Jun 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.