Individual provider Active NPI

Hafsa Mushtaq Nawaz, M.D.

  • Internal Medicine Physician
  • Hamden, CT
National Provider Identifier
1306804463
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044294 Issued in CT
Practice address
2560 Dixwell Ave Ste 1a
Hamden, CT 06514-1852
Phone
(203) 691-7401
Fax
(203) 935-8955
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Star Medical Care PLLC 2 clinicians

Practice addresses (Care Compare)

2560 Dixwell Ave
Suite 1a
Hamden, CT 06514-1852
Phone (203) 691-7401

Hospital & facility affiliations

  • Constellation Home Care Hospice, Norwalk, CT, CCN 071542
  • Connecticut Hospice Inc, the Hospice, Branford, CT, CCN 071500
  • Athena Home Health & Hospice Hospice, Farmington, CT, CCN 071543
  • Accentcare Hospice & Palliative Care of Conecticut Hospice, Middlebury, CT, CCN 071539
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Shady Knoll Center for Health & Rehabilitation Nursing home, Seymour, CT, CCN 075386
  • Orange Health Care Center Nursing home, Orange, CT, CCN 075434
  • Hewitt Health & Rehabilitation Center, Inc Nursing home, Shelton, CT, CCN 075047
  • West Haven Center for Nursing & Rehabilitation Nursing home, West Haven, CT, CCN 075201

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060714000203 CT Practitioner - Internal Medicine 6002829090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044294CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Medical Care, PLLC Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients

Locations

2560 Dixwell Ave
Ste 1A
Hamden, CT 06514
Phone (203) 535-0262

2080 Whitney Ave
Ste 250
Hamden, CT 06518
Phone (203) 535-0262

225 Boston Post Rd
Orange, CT 06477
Phone (203) 795-0835

43 Skokorat St
Seymour, CT 06483
Phone (203) 881-2555

45 Maltby St
Shelton, CT 06484
Phone (203) 924-4671

310 Terrace Ave
West Haven, CT 06516
Phone (203) 654-2100

Interoperability endpoints

  • Direct secure messaging: hafsa.nawaz.1@16244.direct.athenahealth.com
  • Direct secure messaging: hnawaz4103@direct.ynhh.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044294 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

2560 Dixwell Ave Ste 1a
Hamden, CT 06514-1852

Mailing address

PO Box 1451
Guilford, CT 06437-0551
Phone (203) 691-7401

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
01004439CT01OtherCTANTHEM BC/BS
001442946MedicaidCT
044294OtherCTCONNECTICARE
044294OtherCTSTATE LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2020.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1306804463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1451",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064370551",
            "telephone_number": "203-691-7401",
            "fax_number": "203-935-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 DIXWELL AVE STE 1A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141852",
            "telephone_number": "203-691-7401",
            "fax_number": "203-935-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "HAFSA",
        "middle_name": "MUSHTAQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "01004439CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001442946",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "044294",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "044294",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.