NPIMap

Individual provider Active NPI

Elin L Christensen, M.D.

  • Internal Medicine Physician
  • Madison, CT
National Provider Identifier
1356534457
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045721 Issued in CT
Practice address
1291 Boston Post Rd Ste 105
Madison, CT 06443-3476
Phone
(860) 358-5100
Fax
(860) 358-8655
NPI assigned
Aug 22, 2007
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 045721 CT Primary

Addresses

Primary practice location

1291 Boston Post Rd Ste 105
Madison, CT 06443-3476

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000

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
I20071128000096 CT Practitioner - Internal Medicine 9335238484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

1291 Boston Post Rd
Suite 105
Madison, CT 06443-3476
Phone (860) 358-5100

250 Flat Rock PL
Westbrook, CT 06498-3585
Phone (860) 358-3640

270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045721CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
MHS Primary Care Inc Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients

Locations

1291 Boston Post Rd
Ste 105
Madison, CT 06443
Phone (203) 245-1413

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: echristensen18395@middlesexhealthprd.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1356534457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6000",
            "fax_number": "203-245-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BOSTON POST RD STE 105",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433476",
            "telephone_number": "860-358-5100",
            "fax_number": "860-358-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "ELIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "045721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.