NPIMap

Individual provider Active NPI

Yazeed S Maghaydah, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Farmington, CT
National Provider Identifier
1407900228
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
043675 Issued in CT
Practice address
263 Farmington Ave
Geriatric Medicine
Farmington, CT 06030-6232
Phone
(860) 679-8400
Fax
(860) 679-1867
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 043675 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Geriatric Medicine
Farmington, CT 06030-6232

Mailing address

263 Farmington Ave
Provider Enrollment Office
Farmington, CT 06030-2212
Phone (860) 679-7503

Other identifiers 1

IdentifierTypeStateIssuer
1407900228MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ymaghaydah10870@direct.med.uchc.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070915000070 CT Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9537267422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • McLean Home Care and Hospice Home health agency, Simsbury, CT, CCN 077166
  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043675CTMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Jul 17, 2012 Accepting new patients
The William W Backus Hospital CurrentSince Jan 25, 2015 Accepting new patients
William W Backus Hospital CurrentSince Jan 25, 2015 Accepting new patients
University of Connecticut Health Center CurrentSince Jul 17, 2012 Accepting new patients
The William W Backus Hospital Current Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Emc LLC Past Accepting new patients

Locations

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

263 Farmington Ave
Ofc
Farmington, CT 06030
Phone (860) 679-6700

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Interoperability endpoints

  • Direct secure messaging: ymaghaydah14836@xdr.hhchealthdirect.org
  • Direct secure messaging: ymaghaydah10870@direct.med.uchc.edu

Organizations & group practices 7

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 7

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1407900228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT OFFICE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "GERIATRIC MEDICINE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060306232",
            "telephone_number": "860-679-8400",
            "fax_number": "860-679-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHAYDAH",
        "first_name": "YAZEED",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "043675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407900228",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ymaghaydah10870@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.