Individual provider Active NPI

Wael Elmallah, MD, MSC, PHD

  • Interventional Cardiology Physician
  • New Britain, CT
National Provider Identifier
1487861712
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
55451 Issued in CT
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

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D400332473MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012000228 CT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1557549169 Reassigns benefits to 2 organizations

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
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as group
Quality
90.49
Promoting interoperability
100
Improvement activities
40
Cost
77.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35. 091561OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Apr 26, 2017 Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Starling Physicians PLLC CurrentSince Sep 1, 2016 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Apr 26, 2017 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

  • Direct secure messaging: welmallah10733@direct.med.uchc.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.