Individual provider Active NPI

Sana Idrees, M.D.

  • Internal Medicine Physician
  • Southington, CT
National Provider Identifier
1407233547
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61908 Issued in CT
Practice address
98 Main St
Southington, CT 06489
Phone
(860) 426-2851
Fax
(860) 426-0458
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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 61908 CT Primary

Addresses

Primary practice location

98 Main St
Southington, CT 06489

Mailing address

31 Pine Hollow Dr
Southington, CT 06489-6013
Phone (860) 378-9290

Other practice location 1

98 Main St
Southington, CT 06489-2500
Phone (860) 426-2851

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
I20181011002088 CT Practitioner - Internal Medicine 9234481664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

166 Waterbury Rd
Suite 300
Prospect, CT 06712-1246
Phone (203) 709-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61908CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

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

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

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

166 Waterbury Rd
Ste 300
Prospect, CT 06712
Phone (203) 709-5300

98 Main St
Southington, CT 06489
Phone (860) 276-3970

Interoperability endpoints

  • Direct secure messaging: sidrees3509409@direct.trinity-health.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1407233547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE HOLLOW DR",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896013",
            "telephone_number": "860-378-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "06489",
            "telephone_number": "860-426-2851",
            "fax_number": "860-426-0458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Main St",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064892500",
            "country_code": "US",
            "telephone_number": "860-426-2851",
            "fax_number": "860-426-0458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDREES",
        "first_name": "SANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "61908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.