NPIMap

Individual provider Active NPI

Adwoa P Nyanin, MD

  • Internal Medicine Physician
  • Meriden, CT
National Provider Identifier
1487626065
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039364 Issued in CT
Practice address
435 Lewis Ave
Hospitalist Program
Meriden, CT 06451
Phone
(203) 694-8566
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 039364 CT
Internal Medicine Physician 207R00000X 039364 CT Primary

Addresses

Primary practice location

435 Lewis Ave
Hospitalist Program
Meriden, CT 06451

Mailing address

435 Lewis Ave
Hospitalist Program
Meriden, CT 06451
Phone (203) 694-8566

Other identifiers 2

IdentifierTypeStateIssuer
001393644MedicaidCT
P00057744OtherCTRAILROAD MEDICARE

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
I20040412000748 CT Practitioner - HospitalistPractitioner - Internal Medicine 0547254757 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

80 S Main St
Suite 102
Middletown, CT 06457-3648
Phone (860) 358-6878

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039364CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Midstate Medical Center CurrentSince Sep 1, 2004 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 1, 2020 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Middlesex Hospital Internal Medicine CurrentSince Jan 7, 2013 Accepting new patients
Midstate Medical Center CurrentSince Sep 1, 2004 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Oct 28, 2018 Accepting new patients
Hartford Hospital CurrentSince Oct 28, 2018 Accepting new patients
Middlesex Hospital CurrentSince Jan 7, 2013 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Internal Medicine Past Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Midstate Medical Center Past Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

67 Masonic Ave
Fl 1
Wallingford, CT 06492
Phone (203) 265-0355

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: anyanin18507@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: adwoa.nyanin@xdr.hhchealthdirect.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1487626065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 LEWIS AVE",
            "address_2": "HOSPITALIST PROGRAM",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06451",
            "telephone_number": "203-694-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LEWIS AVE",
            "address_2": "HOSPITALIST PROGRAM",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06451",
            "telephone_number": "203-694-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYANIN",
        "first_name": "ADWOA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "039364",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001393644",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00057744",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.