Individual provider Active NPI

Sherif Eldirany

  • Dermatology Physician
  • Farmington, CT
National Provider Identifier
1346826484
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
80526 Issued in CT
Practice address
399 Farmington Ave Ste 260
Farmington, CT 06032-1979
Phone
(606) 767-0008
NPI assigned
Mar 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 80526 CT Primary

Addresses

Primary practice location

399 Farmington Ave Ste 260
Farmington, CT 06032-1979

Mailing address

399 Farmington Ave Ste 260
Farmington, CT 06032-1979
Phone (860) 676-7000

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
I20250628000006 CT Practitioner - Dermatology 4284037664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

399 Farmington Ave
Suite 260
Farmington, CT 06032-1979
Phone (860) 676-7005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions377
Removal or shaving of skin growth12
Skin biopsy125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

399 Farmington Ave
Ste 260
Farmington, CT 06032
Phone (606) 767-0008

704 Hebron Ave
Ste 103
Glastonbury, CT 06033
Phone (860) 247-3279

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1346826484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 FARMINGTON AVE STE 260",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321979",
            "telephone_number": "860-676-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 FARMINGTON AVE STE 260",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321979",
            "telephone_number": "606-767-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDIRANY",
        "first_name": "SHERIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "80526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.