Individual provider Active NPI

Angelin S Shajan, DO

  • Family Medicine Physician
  • West Haven, CT
National Provider Identifier
1366900755
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71434 Issued in CT
Practice address
1 Cellini PL Ste 102
West Haven, CT 06516-1666
Phone
(203) 932-6481
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71434 CT Primary

Addresses

Primary practice location

1 Cellini PL Ste 102
West Haven, CT 06516-1666

Mailing address

1 Cellini PL Ste 102
West Haven, CT 06516-1666
Phone (203) 932-6481

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashajan455942@xdr.hhchealthdirect.org Health Information Exchange (HIE)

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
I20220817002887 CT Practitioner - Family Practice 8224363155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

1 Cellini PL
Suite 102
West Haven, CT 06516-1666
Phone (203) 932-6481

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

250 Indian River Rd
Suite 300
Orange, CT 06477-3627
Phone (203) 738-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71434CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC CurrentSince Oct 3, 2022 Accepting new patients
HHC Physician Services, PLLC Family Medicine CurrentSince Oct 3, 2022 Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

1622 Boston Post Rd
Milford, CT 06460
Phone (475) 209-9130

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

687 Campbell Ave
West Haven, CT 06516
Phone (203) 786-5068

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.

Hospital & facility affiliations 5

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1366900755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CELLINI PL STE 102",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161666",
            "telephone_number": "203-932-6481",
            "fax_number": "203-932-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CELLINI PL STE 102",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161666",
            "telephone_number": "203-932-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAJAN",
        "first_name": "ANGELIN",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "71434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashajan455942@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1 Cellini Pl Ste 102",
            "city": "West Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065161666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.