Active NPI
Rafael Wurzel, M.D.
- Urology Physician
- Hartford, CT
National Provider Identifier
1427045699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 023487
- Practice address
- 85 Seymour St Ste 416
Hartford Healthcare Medical Group
Hartford, CT 06106-5523 - Phone
- (860) 947-8500
- Fax
- (860) 524-8643
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 023487 | CT | Primary |
Addresses
Primary practice location
85 Seymour St Ste 416
Hartford Healthcare Medical Group
Hartford, CT 06106-5523
Mailing address
85 Seymour St Ste 416
Hartford Healthcare Medical Group
Hartford, CT 06106-5523
Phone (860) 947-8500
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255448155 | Other | CT | GHMC GROUP NPI ID |
| 482013 | Other | CT | AETNA |
| 004214467 | Medicaid | CT | |
| 010023487CT06 | Other | CT | BCBS & BCFP |
| 001234871 | Medicaid | CT | |
| 01223487 | Other | CT | CIGNA |
| 134852 | Other | CT | WELLCARE MEDICARE |
| 060069 | Other | CT | HEALTH NET |
| 07608703 | Other | CT | CONNECTICARE |
| P369846 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023487 | CT | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1427045699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST STE 416",
"address_2": "HARTFORD HEALTHCARE MEDICAL GROUP",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065523",
"telephone_number": "860-947-8500",
"fax_number": "860-524-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST STE 416",
"address_2": "HARTFORD HEALTHCARE MEDICAL GROUP",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065523",
"telephone_number": "860-947-8500",
"fax_number": "860-524-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURZEL",
"first_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "023487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMC GROUP NPI ID",
"identifier": "1255448155",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "482013",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004214467",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS & BCFP",
"identifier": "010023487CT06",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001234871",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "01223487",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICARE",
"identifier": "134852",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "060069",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "07608703",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P369846",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.