NPIMap

Individual provider Active NPI

John Huang, M.D.

  • Internal Medicine Physician
  • Wallingford, CT
National Provider Identifier
1306860432
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040314 Issued in CT
Practice address
67 Masonic Ave
Suite 3100
Wallingford, CT 06492-3095
Phone
(203) 284-3144
Fax
(203) 284-3150
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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 040314 CT Primary

Addresses

Primary practice location

67 Masonic Ave
Suite 3100
Wallingford, CT 06492-3095

Mailing address

67 Masonic Ave
Suite 3100
Wallingford, CT 06492-3095
Phone (203) 626-6511

Other identifiers 1

IdentifierTypeStateIssuer
110234151MedicaidCT

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
I20061012000433 CT Practitioner - Internal Medicine 8325044407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Franciscan Home Care and Hospice Care Home health agency, Meriden, CT, CCN 077173
  • Masonicare Home Health & Hospice, Inc Home health agency, Wallingford, CT, CCN 077159
  • Atrinity Home Health Home health agency, Wallingford, CT, CCN 077254
  • Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264
  • Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Gaylord Hospital Inc Long-term care hospital, Wallingford, CT, CCN 072003

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040314CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Masonicare Behavioral Health, LLC CurrentSince May 22, 2011 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients
Midstate Medical Group, PC Past Accepting new patients
Midstate Medical Group, PC Internal Medicine Past Accepting new patients

Locations

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

98 Main St
Ste 306
Southington, CT 06489
Phone (860) 621-6704

67 Masonic Ave
Ste 3100
Wallingford, CT 06492
Phone (203) 284-3144

67 Masonic Ave
Fl 1
Wallingford, CT 06492
Phone (203) 265-0355

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

Interoperability endpoints

  • Direct secure messaging: john.huang@xdr.hhchealthdirect.org

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1306860432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "address_2": "SUITE 3100",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-626-6511",
            "fax_number": "203-284-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "address_2": "SUITE 3100",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-284-3144",
            "fax_number": "203-284-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110234151",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.