Active NPI
Wael Elmallah, MD, MSC, PHD
- Interventional Cardiology Physician
- New Britain, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 55451
- Practice address
- 1 Lake St
Suite 204
New Britain, CT 06052-1396 - Phone
- (860) 223-0220
- NPI assigned
- May 17, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35. 091561 | OH | |
| Adult Congenital Heart Disease Physician | 207RA0002X | 55451 | CT | |
| Cardiovascular Disease Physician | 207RC0000X | 55451 | CT | |
| Pediatrics Physician | 208000000X | 35. 091561 | OH | |
| Interventional Cardiology Physician | 207RI0011X | 55451 | CT | Primary |
Addresses
Primary practice location
1 Lake St
Suite 204
New Britain, CT 06052-1396
Mailing address
2110 Silas Deane Hwy
Rocky Hill, CT 06067-2353
Phone (860) 258-3480
Other practice location 1
1260 Silas Deane Hwy Ste 109
Wethersfield, CT 06109-4363
Phone (860) 258-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D400332473 | Medicaid | CT |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Lake St
New Britain, CT 06052-1396
Phone (860) 832-7466
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5011
100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480
11 S Rd
Farmington, CT 06032-2483
Phone (860) 258-3480
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666
209 Main St
Southington, CT 06489-2539
Phone (860) 258-3480
289 Western Blvd
Glastonbury, CT 06033-1256
Phone (860) 258-3480
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 258-3480
Hospital & facility affiliations
- The Hospital of Central Connecticut
- Hartford Hospital
- John Dempsey Hospital of the University of Connect
- Griffin Hospital
- St Francis Hospital & Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 83.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.78
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 90.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35. 091561 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Starling Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| Starling Physicians PLLC | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Internal Medicine | Current | Accepting new patients |
| Starling Physicians, PLLC | Past | Accepting new patients | |
| Starling Physicians, PLLC | Past | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
11 South Rd
Farmington, CT 06032
Phone (860) 522-7121
1 Lake St
Ste 204
New Britain, CT 06052
Phone (860) 223-0220
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
2110 Silas Deane Hwy
Rocky Hill, CT 06067
1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477
1260 Silas Deane Hwy
Ste 109
Wethersfield, CT 06109
Phone (860) 258-3477
Interoperability endpoints
- welmallah10733@direct.med.uchc.edu
- wael.elmallah@xdr.hhchealthdirect.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
-
- Clinical Medical Laboratory
- New Britain, CT
- NPI 1437252806
-
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1487861712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 SILAS DEANE HWY",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060672353",
"telephone_number": "860-258-3480",
"fax_number": "860-571-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LAKE ST",
"address_2": "SUITE 204",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521396",
"telephone_number": "860-223-0220"
}
],
"practiceLocations": [
{
"address_1": "1260 Silas Deane Hwy Ste 109",
"address_purpose": "LOCATION",
"city": "Wethersfield",
"state": "CT",
"postal_code": "061094363",
"country_code": "US",
"telephone_number": "860-258-3477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELMALLAH",
"first_name": "WAEL",
"name_prefix": "Dr.",
"credential": "MD, MSC, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35. 091561",
"primary": false
},
{
"code": "207RA0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adult Congenital Heart Disease",
"state": "CT",
"license": "55451",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "55451",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35. 091561",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CT",
"license": "55451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D400332473",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.