Individual provider Active NPI

Todd Zachs, M.D.

  • Otolaryngology Physician
  • Hartford, CT
National Provider Identifier
1417928607
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
029961 Issued in CT
Practice address
1000 Asylum Ave RM 1004
Hartford, CT 06105-1701
Phone
(860) 712-8652
NPI assigned
Jan 27, 2006
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 029961 CT Primary

Addresses

Primary practice location

1000 Asylum Ave RM 1004
Hartford, CT 06105-1701

Mailing address

901 Farmington Ave
Suite 3Rd Floor
West Hartford, CT 06119-1418
Phone (860) 586-2111

Other practice location 1

206 Turkey Hills Rd
East Granby, CT 06026-9402
Phone (860) 712-8652

Other identifiers 1

IdentifierTypeStateIssuer
001299610MedicaidCT

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
I20100625000185 CT Practitioner - Otolaryngology 5294830253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029961CTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Ear, Nose & Throat Specialists Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tzachs2390291@direct.trinity-health.org

Organizations & group practices 2

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1417928607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FARMINGTON AVE",
            "address_2": "SUITE 3RD FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191418",
            "telephone_number": "860-586-2111",
            "fax_number": "860-586-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE RM 1004",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051701",
            "telephone_number": "860-712-8652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Turkey Hills Rd",
            "address_purpose": "LOCATION",
            "city": "East Granby",
            "state": "CT",
            "postal_code": "060269402",
            "country_code": "US",
            "telephone_number": "860-712-8652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHS",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "029961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001299610",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.