Individual provider Active NPI

Anju Phillips

  • Internal Medicine Physician
  • New Britain, CT
National Provider Identifier
1285920975
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1.053833 Issued in CT
Practice address
100 Grand St
New Britain, CT 06052-2016
Phone
(551) 486-1957
NPI assigned
Jun 22, 2011
Last updated
May 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1.053833 CT Primary
Hospitalist Physician 208M00000X 53833 CT

Addresses

Primary practice location

100 Grand St
New Britain, CT 06052-2016

Mailing address

395 Brittany Farms Rd
Apt 107
New Britain, CT 06053-1100

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
I20150904001302 CT Practitioner - Internal MedicinePractitioner - Hospitalist 4486974078 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-5322

540 Saybrook Rd
Middletown, CT 06457-4711
Phone (860) 358-4770

80 S Main St
Middletown, CT 06457-3648
Phone (860) 358-6878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1.053833CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Aug 3, 2015 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Jul 24, 2015 Accepting new patients
MHS Primary Care Inc Internal Medicine CurrentSince Nov 2, 2020 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
MHS Primary Care Inc Internal Medicine CurrentSince Nov 2, 2020 Accepting new patients
Middlesex Hospital Internal Medicine CurrentSince Aug 3, 2015 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jul 24, 2015 Accepting new patients

Locations

176 Westbrook Rd
Essex, CT 06426
Phone (860) 767-8265

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

540 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-7491

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

Interoperability endpoints

  • Direct secure messaging: aphillips444057@direct.vumc.org

Organizations & group practices 7

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 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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1285920975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 BRITTANY FARMS RD",
            "address_2": "APT 107",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "551-486-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANJU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "1.053833",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "53833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.