Harry Elbaum, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

025800 Issued in CT

Practice address

71 Haynes St
Manchester, CT 06040-4131

Phone

(860) 649-1550

Fax

(860) 649-1091

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Willimantic, PC 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

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 and National Provider Directory roles.

• Anesthesia Associates of Willimantic PC

  • Anesthesiology Physician
  • Willimantic, CT
  • NPI 1306905799

  Anesthesiology, CT

  Medicare reassignment Care Compare group NPD
• Anesthesiology Associates of Eastern Connecticut, P.C

  • Anesthesiology Physician
  • Manchester, CT
  • NPI 1730154196

  Anesthesiology

  NPD (past)

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

• Manchester Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1881564664

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1497720783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 MAIN ST",
            "address_2": "SUITE 212",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406014",
            "telephone_number": "860-649-1550",
            "fax_number": "860-649-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-649-1550",
            "fax_number": "860-649-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBAUM",
        "first_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "025800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001258004",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daenya Edwards, DDS
• Leah Kay Ehle, APRN
• Johanna Eichner, RDN
• Ledee Ekanem
• Cora Ekwurtzel
• Lisa Eleck, APRN
• Elevate Counseling Services LLC
• Elevate Optimum Care LLC
• Canan Elevulu, PHARM D
• Ellen Buffa, LLC

• All providers in Manchester, CT
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.