Wagdy M Habashy, MD
Individual provider Active NPI Internal Medicine Physician · Plainfield, CT
NPI 1508875451 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1508875451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036263 (CT)
- Practice address
- 31 Dow Rd
Plainfield, CT 06374 - Phone
- (860) 564-6296
- Fax
- (860) 230-0446
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
31 Dow Rd
Plainfield, CT 06374-1800
Phone (860) 564-6296
Hospital & facility affiliations
- Hartford Healthcare at Home
- Day Kimball Healthcare
- Day Kimball Hospital
- William W Backus Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070611000380 | CT | Practitioner - Internal Medicine |
8325146624 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wagdy M Habashy MD LLC | Internal Medicine | Current |
Accepting new patients |
| Day Kimball Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
Locations
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
45 Green Hollow Rd
Danielson, CT 06239
Phone (860) 774-1255
612 Hartford Pike
Dayville, CT 06241
Phone (860) 779-0284
31 Dow Rd
Plainfield, CT 06374
Phone (860) 564-6200
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
Interoperability endpoints
- wagdy.habashy@wagdyhabashy.direct.emds.com
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036263 | CT | Yes |
Addresses
Primary practice location
31 Dow Rd
Plainfield, CT 06374
Mailing address
31 Dow Rd
Plainfield, CT 06374
Phone (860) 564-6296
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001362631 | Medicaid | CT |
Other providers in Plainfield, CT
- Genesis Rehab Services
- Gina Tourangeau, Ms, LPC, Cac
- Maria A Gorby
- Jeni Grandelski
- Amanda Gremo
- Vickie M Hall
- Healthcall Medical Center,LLC
- Helping Hands Transportation LLC
- Susan Honeychurch
- Heather Hunnicutt
All providers in Plainfield, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.