NPIMap

Individual provider Active NPI

Jordan Tyler Powner, D.O.

  • Pulmonary Disease Physician
  • Hartford, CT
National Provider Identifier
1306100128
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
63819 Issued in CT
Practice address
85 Seymour St Ste 923
Hartford, CT 06106-5529
Phone
(860) 547-1876
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 06106 CT
Pulmonary Disease Physician 207RP1001X 63819 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 923
Hartford, CT 06106-5529

Mailing address

85 Seymour Street
Suite 923
Hartford, CT 06106
Phone (860) 524-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802002997 CT Practitioner - Pulmonary Disease 0244479897 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

100 Hazard Ave
Suite 206
Enfield, CT 06082-5447
Phone (860) 749-1985

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021

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

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06106CTMDCritical Care Medicine (Internal Medicine) Physician
63819CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Sep 1, 2019 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Jun 15, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 1, 2020 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Nov 13, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Hartford Hospital CurrentSince Nov 13, 2019 Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

339 W Main St
Avon, CT 06001
Phone (860) 696-2150

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

100 Hazard Ave
Ste 206
Enfield, CT 06082
Phone (860) 696-4275

85 Seymour St
Ste 923
Hartford, CT 06106
Phone (860) 524-4550

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

85 Barnes Rd
Ste 301
Wallingford, CT 06492
Phone (203) 265-9122

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: jordan.powner@xdr.hhchealthdirect.org

Organizations & group practices 9

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 3

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1306100128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR STREET",
            "address_2": "SUITE 923",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-524-4550",
            "fax_number": "860-524-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 923",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065529",
            "telephone_number": "860-547-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWNER",
        "first_name": "JORDAN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "06106",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "63819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.