NPIMap

Organization Active NPI

Hartford Hospital

  • Surgery Physician
  • Hartford, CT
National Provider Identifier
1407806391
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HARTFORD HOSPITAL
Practice address
80 Seymour St
Hartford Hospital Professional Services
Hartford, CT 06102-8000
Phone
(860) 545-7602
Fax
(860) 545-7601
NPI assigned
May 11, 2006
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HARTFORD HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. John M Biancamano, VP
Title
VP, Finance
Phone
(860) 545-7602

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU
Transplant Surgery Physician 204F00000X NU
Emergency Medicine Physician 207P00000X NU
Internal Medicine Physician 207R00000X NU
Neurological Surgery Physician 207T00000X NU
Nuclear Medicine Physician 207U00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Neurology Physician 2084N0400X NU
Psychiatry Physician 2084P0800X NU
Surgery Physician 208600000X NU Primary
Urology Physician 208800000X NU

Addresses

Primary practice location

80 Seymour St
Hartford Hospital Professional Services
Hartford, CT 06102-8000

Mailing address

Hartford Hospital Professional Services
PO Box 40,000 Dept 634
Hartford, CT 06151-0001
Phone (860) 545-7602

Other names 1

  • Hartford Hospital Professional Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031125000700 CT Part B Supplier - Clinic/Group Practice 2567366016 Receives reassigned benefits from 1,795 practitioners
1 other NPI on this enrollment
O20031125000752 CT Part B Supplier - Clinic/Group Practice 2567366016 Receives reassigned benefits from 1,348 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hartford Hospital Pharmacy

Locations

111 Park St
Hartford, CT 06106
Phone (860) 972-2780

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hartford HospitalHartford, CT, CCN 07S025 Hospital Operational/Managerial Control (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1,899

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,899

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1407806391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
            "address_2": "PO BOX 40,000 DEPT 634",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061510001",
            "telephone_number": "860-545-7602",
            "fax_number": "860-545-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-545-7602",
            "fax_number": "860-545-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARTFORD HOSPITAL",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "BIANCAMANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "860-545-7602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartford Hospital Professional Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.