Individual provider Active NPI

Syeda Dania Shujaat

  • Neurology Physician
  • Hartford, CT
National Provider Identifier
1285082891
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
069500 Issued in CT
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

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627000123 CT Practitioner - Neurology 7012396732 Reassigns benefits to 2 organizations

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 HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

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 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 Medicine

State licenses

LicenseStateTypeSpecialty
180046503OKMDInternal Medicine Physician
069500CTMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Jul 1, 2022 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Hartford Hospital CurrentSince Jul 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.