Hanspaul S Makkar, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

044189 Issued in CT

Practice address

1 Willowbrook Rd Ste 2
Cromwell, CT 06416-1745

Phone

(860) 322-2222

Fax

(860) 322-6838

NPI assigned

Jun 23, 2006

Last updated

May 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Micrographic Dermatologic Surgery (MDS)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Connecticut Dermatology PLLCGroup PAC ID 8527301365, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Central Connecticut Dermatology, PLLC

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1407313984
  Medicare reassignment Care Compare group NPD
• University of Connecticut Health Center

  dba University Physicians

  • General Practice Physician
  • Farmington, CT
  • NPI 1720083769

  Dermatology

  Medicare reassignment NPD
• University of Connecticut Health Center

  dba University Physicians

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
  • NPI 1104809375
  NPD
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Division of Vascular Surgery

  • Vascular Surgery Physician
  • San Francisco, CA
  • NPI 1033913959
  NPD (past)
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Dept of Dermatology

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1164497285
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hartford Healthcare at Home, Inc

  • Home Health Agency
  • Wethersfield, CT
  • NPI 1073529566
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1467488510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Farmington Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321933",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Knotter Drive",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "telephone_number": "860-400-2000",
            "fax_number": "860-400-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Buckland Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060743725",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKKAR",
        "first_name": "HANSPAUL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "044189",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "044189",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CT",
            "license": "044189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441899",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daria Virginia Madden
• Susan Madore
• Steven Madsen
• Tania De Magalhaes
• Paola Magill
• Kellina Malavasi, BCBA 1-17-27872
• Igor Malitsky, CPED
• Edward Mann
• Michelle Marais
• Marc Glassman Inc (Xpect Pharmacy)

• MOHS-Micrographic Surgery Physician in Cromwell, CT
• Providers in Cromwell, CT by specialty
• MOHS-Micrographic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.