Active NPI
Christina Abavana
- Sleep Medicine (Psychiatry & Neurology) Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 63874
- Practice address
- 2660 Main St
Bridgeport, CT 06606-5369 - Phone
- (203) 576-6000
- NPI assigned
- Jul 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT204807 | PA | |
| Neurology Physician | 2084N0400X | 63874 | CT | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 63874 | CT | Primary |
Addresses
Primary practice location
2660 Main St
Bridgeport, CT 06606-5369
Mailing address
2660 Main St
Bridgeport, CT 06606-5369
Other practice location 1
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-4545
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191021000755 | CT | Practitioner - Neurology | 7810250594 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hartford Healthcare Medical Group Specialists PLLC
Practice addresses (Care Compare)
1 Towne Park PLZ
Norwich, CT 06360-2247
Phone (860) 886-1433
Hospital & facility affiliations
- St Vincent'S Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT204807 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Neighborhood Health, Inc. | Internal Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists, PLLC | Neurology | Current | Accepting new patients |
Locations
2660 Main St
Bridgeport, CT 06606
Phone (203) 332-4744
2720 Main St
Ste 1
Bridgeport, CT 06606
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
111 Beach Rd
Fairfield, CT 06824
Phone (203) 255-2766
1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
Interoperability endpoints
- christina.abavana@xdr.hhchealthdirect.org
Organizations & group practices 3
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
CT, Neurology
-
- General Practice Physician
- Torrington, CT
- NPI 1043544489
CT, Internal Medicine
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
Hospital & facility affiliations 1
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": "1372896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1508206574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065369",
"telephone_number": "203-576-6000"
}
],
"practiceLocations": [
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-4545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABAVANA",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-04",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT204807",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "63874",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "CT",
"license": "63874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.