Active NPI
Tyler Hajjar
- Certified Registered Nurse Anesthetist
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 010665
- Practice address
- 80 Seymour Street
Hartford, CT 06106 - Phone
- (203) 929-7353
- Fax
- (203) 929-0756
- NPI assigned
- Apr 11, 2022
- Last updated
- Aug 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 010665 | CT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
80 Seymour Street
Hartford, CT 06106
Mailing address
99 E River Dr FL 5
East Hartford, CT 06108-7301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 282-0833
300 Western Blvd
Glastonbury, CT 06033-4305
Phone (860) 657-1920
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.99 of 100
- Quality
- 89.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010665 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Gi PLLC | Current | Accepting new patients | |
| Charter Anesthesiology LLC | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
300 Western Blvd
Glastonbury, CT 06033
Phone (860) 547-0306
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
Interoperability endpoints
- tyler.hajjar@xdr.hhchealthdirect.org
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Hartford, CT
- NPI 1730674532
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1356083323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E RIVER DR FL 5",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061087301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR STREET",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06106",
"telephone_number": "203-929-7353",
"fax_number": "203-929-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJJAR",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-11",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "010665",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.