NPIMap

Organization Active NPI

Connecticut Surgeons, LLC

  • Surgery Physician
  • Hartford, CT
National Provider Identifier
1467544239
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CONNECTICUT SURGEONS, LLC
Practice address
95 Woodland St
Second Floor
Hartford, CT 06105
Phone
(860) 714-7447
Fax
(860) 727-0242
NPI assigned
Sep 29, 2006
Last updated
May 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Dr. Ibrahim Daoud, M.D.NPI 1376657080
Title
Owner
Phone
(860) 714-6871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

95 Woodland St
Second Floor
Hartford, CT 06105

Mailing address

95 Woodland St
Second Floor
Hartford, CT 06105-1230
Phone (860) 714-6871

Other identifiers 13

IdentifierTypeStateIssuer
001331066MedicaidCT
004245602MedicaidCT
3962260OtherCTBARBA AETNA
00133106602OtherCTBARBA BCFP
1487663118OtherCTHONORE NPI
2V6493OtherCTBARBA HEALTHNET
2V5964OtherCTHONORE HEALTHNET
622478OtherCTBARBA CTCARE
1679581359OtherCTBARBA NPI
P3887114OtherCTBARBA OXFORD
010033106CT03OtherCTBARBA BCBS
1200451012OtherCTBARBA CIGNA
400002988CT01OtherCTHONORE BCBS ANTHEM

National Provider Directory

National Provider Directory

Locations

176 W Main St
Ste 2
Avon, CT 06001

1000 Asylum Ave
Ste 3201A
West Hartford, CT 06105
Phone (860) 714-1094

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1467544239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOODLAND ST",
            "address_2": "SECOND FLOOR",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051230",
            "telephone_number": "860-714-6871",
            "fax_number": "860-714-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WOODLAND ST",
            "address_2": "SECOND FLOOR",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-714-7447",
            "fax_number": "860-727-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "DAOUD",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-714-6871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001331066",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004245602",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBA AETNA",
            "identifier": "3962260",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBA BCFP",
            "identifier": "00133106602",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HONORE NPI",
            "identifier": "1487663118",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBA HEALTHNET",
            "identifier": "2V6493",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HONORE HEALTHNET",
            "identifier": "2V5964",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBA CTCARE",
            "identifier": "622478",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBA NPI",
            "identifier": "1679581359",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBA OXFORD",
            "identifier": "P3887114",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBA BCBS",
            "identifier": "010033106CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBA CIGNA",
            "identifier": "1200451012",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HONORE BCBS ANTHEM",
            "identifier": "400002988CT01",
            "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 May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.