NPIMap

Individual provider Active NPI

Javed Khader Eliyas, MD

  • Neurological Surgery Physician
  • Hartford, CT
National Provider Identifier
1396991881
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
71453 Issued in CT
Practice address
1000 Asylum Ave Ste 3215
Hartford, CT 06105-1702
Phone
(860) 714-6980
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 325495 NY
Neurological Surgery Physician 207T00000X MD2017-1071 NM
Neurological Surgery Physician 207T00000X 71453 CT Primary

Addresses

Primary practice location

1000 Asylum Ave Ste 3215
Hartford, CT 06105-1702

Mailing address

1000 Asylum Ave Ste 3215
Hartford, CT 06105-1702
Phone (860) 714-6980

Other practice location 1

241 North Rd
Poughkeepsie, NY 12601-1154
Phone (914) 592-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, MA, MO4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220802001508 CT Practitioner - Neurosurgery 9739482852 Reassigns benefits to 1 organization
I20231030001665 NY Practitioner - Neurosurgery 9739482852 Reassigns benefits to 1 organization
I20240410000694 MA Practitioner - Neurosurgery 9739482852 Reassigns benefits to 3 organizations
I20251212001321 MO Practitioner - Neurosurgery 9739482852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

1000 Asylum Ave
Suite 3215
Hartford, CT 06105-1702
Phone (860) 714-9623

175 Carew St
Suite 300
Springfield, MA 01104-2478
Phone (413) 452-6650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1017174MAMDClinical Social Worker
71453CTMDNeurological Surgery Physician
MD2017-1071NMMDNeurological Surgery Physician
325495NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 1, 2022 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Nov 1, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 1, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Sep 1, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Surgery CurrentSince Sep 1, 2023 Accepting new patients
Mercy Inpatient Medical Associates Inc. Surgery CurrentSince Apr 1, 2024 Accepting new patients
Research Neuroscience Institute, LLC Neurological Surgery CurrentSince Nov 21, 2025 Accepting new patients
Riverbend Medical Group, Inc. Surgery CurrentSince Nov 1, 2024 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

47 Palomba Dr
Enfield, CT 06082
Phone (860) 253-5020

1000 Asylum Ave
Ste 3215
Hartford, CT 06105
Phone (860) 244-2300

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1000 Asylum Ave
Ste 4304
Hartford, CT 06105
Phone (860) 522-3711

1579 Straits Tpke
Ste 2A
Middlebury, CT 06762
Phone (203) 754-3631

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

175 Carew St
Ste 300
Springfield, MA 01104
Phone (413) 452-6650

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

2330 E Meyer Blvd
Ste 411
Kansas City, MO 64132
Phone (816) 353-2500

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: jkhadereliyas174734@ahs.direct-ci.com
  • Direct secure messaging: jkhadereliyas2388337@direct.trinity-health.org

Organizations & group practices 9

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 12

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1396991881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 3215",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051702",
            "telephone_number": "860-714-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 3215",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051702",
            "telephone_number": "860-714-6980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 North Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011154",
            "country_code": "US",
            "telephone_number": "914-592-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHADER ELIYAS",
        "first_name": "JAVED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "325495",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NM",
            "license": "MD2017-1071",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "71453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.