Individual provider Active NPI

Siama M Ramlogan, APRN

  • Family Nurse Practitioner
  • Bristol, CT
National Provider Identifier
1386063840
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5858 Issued in CT
Practice address
1251 Farmington Ave
Bristol, CT 06010
Phone
(860) 584-4535
NPI assigned
Apr 14, 2014
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5858 CT Primary

Addresses

Primary practice location

1251 Farmington Ave
Bristol, CT 06010

Mailing address

170 Rahlene Dr
Southington, CT 06489
Phone (860) 519-7915

Other practice location 1

905 S Main St
Cheshire, CT 06410-3418
Phone (866) 389-2727

Other names 1

  • Mrs. Siama M Ahmad Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520001330 CT Practitioner - Nurse Practitioner 4789983446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians
MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

115 Waterbury Rd
Prospect, CT 06712-1254
Phone (203) 758-5660

323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone (866) 389-2727

3514 Main St
Coventry, CT 06238-1551
Phone (866) 389-2727

358 W Main St
Avon, CT 06001-3643
Phone (866) 389-2727

525 Buckland Rd
South Windsor, CT 06074-3746
Phone (866) 389-2727

905 S Main St
Cheshire, CT 06410-3418
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5858CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Apr 11, 2016 Accepting new patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Prohealth Physicians PC Family CurrentSince Sep 22, 2025 Accepting new patients

Locations

839 Farmington Ave
Bristol, CT 06010
Phone (860) 582-8167

905 S Main St
Cheshire, CT 06410
Phone (203) 272-3255

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

115 Waterbury Rd
Prospect, CT 06712
Phone (203) 758-5660

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

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.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1386063840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 RAHLENE DR",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "06489",
            "telephone_number": "860-519-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-584-4535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064103418",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMLOGAN",
        "first_name": "SIAMA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIAMA",
            "last_name": "AHMAD",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.