Active NPI
Todd B Sheridan, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 67636
- Practice address
- 80 Seymour St
Hartford, CT 06102 - Phone
- (860) 972-6113
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1063464477
Anatomic Pathology & Clinical Pathology, CT
-
- Obstetrics & Gynecology Physician
- Rocky Hill, CT
- NPI 1801826680
Anatomic Pathology & Clinical Pathology, CT
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Clinical Medical Laboratory
- Greenbelt, MD
- NPI 1851707186
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Medical College of Ohio, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Pathology Associates PC
Practice addresses (Care Compare)
80 Seymour St
Pathology Dept
Hartford, CT 06141-0540
Phone (860) 545-2249
Hospital & facility affiliations
- Hartford Hospital
- Charlotte Hungerford Hospital
- Middlesex Hospital
- William W Backus Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210615000251 | CT | Practitioner - Pathology | 4880606425 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67636 | CT | MD | Anatomic Pathology & Clinical Pathology Physician |
| D0064256 | MD | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women'S Health LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Hartford Pathology Associates, P.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Hartford Hospital | Current | Accepting new patients | |
| Integrated Cellular and Molecular Diagnostics LLC | Past | Accepting new patients |
Locations
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CT | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 67636 | CT | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | D0064256 | MD |
Addresses
NPPES NPI RegistryPrimary practice location
80 Seymour St
Hartford, CT 06102
Mailing address
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-6113
Other practice location 1
6305 Ivy Ln Ste 100
Greenbelt, MD 20770-6323
Phone (844) 522-4263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2021.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1336199546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "860-972-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06102",
"telephone_number": "860-972-6113"
}
],
"practiceLocations": [
{
"address_1": "6305 Ivy Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Greenbelt",
"state": "MD",
"postal_code": "207706323",
"country_code": "US",
"telephone_number": "844-522-4263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERIDAN",
"first_name": "TODD",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "67636",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MD",
"license": "D0064256",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.