NPIMap

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
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

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

Addresses

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

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
I20060714000203 CT Practitioner - Internal Medicine 6002829090 Reassigns benefits to 1 organization

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 PLLCGroup PAC ID 1557624673, 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

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

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

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

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.