Individual provider Active NPI

Ahmed Elwan, MD, RPVI

  • Cardiovascular Disease Physician
  • Wethersfield, CT
National Provider Identifier
1346575602
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
051773 Issued in CT
Practice address
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone
(860) 258-3477
Fax
(860) 571-2937
NPI assigned
Oct 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 051773 CT Primary

Addresses

Primary practice location

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362

Mailing address

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 258-3477

Other practice location 1

80 Seymour Street
Hartford Hospital Cardiology Dept
Hartford, CT 06102-5037
Phone (860) 972-4398

Other practice location 2

11 South Rd
Farmington, CT 06032-2483
Phone (860) 258-3477

Other practice location 3

289 Western Blvd
Glastonbury, CT 06033-1256
Phone (860) 258-3477

Other practice location 4

136 Berlin Rd
Cromwell, CT 06416-2627
Phone (860) 258-3477

Other identifiers 1

IdentifierTypeStateIssuer
001517739MedicaidCT

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000722 CT Practitioner - Cardiovascular Disease (Cardiology) 7719128719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as group
Quality
90.49
Promoting interoperability
100
Improvement activities
40
Cost
77.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease CurrentSince Jul 27, 2021 Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Hartford Hospital CurrentSince Apr 7, 2025 Accepting new patients
Starling Physicians PLLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

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

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

136 Berlin Rd
Cromwell, CT 06416
Phone (860) 378-8585

11 South Rd
Farmington, CT 06032
Phone (860) 522-7121

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

2110 Silas Deane Hwy
Rocky Hill, CT 06067

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

Interoperability endpoints

  • Direct secure messaging: ahmed.elwan@xdr.hhchealthdirect.org

Organizations & group practices 7

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 8

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": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1346575602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094362",
            "telephone_number": "860-258-3477",
            "fax_number": "860-571-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094362",
            "telephone_number": "860-258-3477",
            "fax_number": "860-571-2937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour Street",
            "address_2": "Hartford Hospital Cardiology Dept",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061025037",
            "country_code": "US",
            "telephone_number": "860-972-4398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 South Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322483",
            "country_code": "US",
            "telephone_number": "860-258-3477",
            "fax_number": "860-571-2937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060331256",
            "country_code": "US",
            "telephone_number": "860-258-3477",
            "fax_number": "860-571-2937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Berlin Rd",
            "address_purpose": "LOCATION",
            "city": "Cromwell",
            "state": "CT",
            "postal_code": "064162627",
            "country_code": "US",
            "telephone_number": "860-258-3477",
            "fax_number": "860-571-2937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELWAN",
        "first_name": "AHMED",
        "credential": "MD, RPVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "051773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001517739",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.