Individual provider Active NPI

Murray Isaac Wellner, MD

  • Internal Medicine Physician
  • West Hartford, CT
National Provider Identifier
1508887290
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18806 Issued in CT
Practice address
10 Dale St
West Hartford, CT 06107-1815
Phone
(860) 521-9451
Fax
(860) 232-2793
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18806 CT Primary

Addresses

Primary practice location

10 Dale St
West Hartford, CT 06107-1815

Mailing address

10 Dale St
West Hartford, CT 06107-1815
Phone (860) 521-9451

Other identifiers 1

IdentifierTypeStateIssuer
1188069MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000307 CT Practitioner - Internal Medicine 0042477267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Murray I Wellner MD PCGroup PAC ID 9436316650, 2 clinicians

Practice addresses (Care Compare)

10 Dale St
West Hartford, CT 06107-1815
Phone (860) 521-9451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18806CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murray I. Wellner MD PC Internal Medicine CurrentSince Oct 10, 1986 Accepting new patients
Murray I Wellner, MDPC Internal Medicine CurrentSince Oct 10, 1986 Accepting new patients

Locations

10 Dale St
West Htfd, CT 06107
Phone (860) 233-3339

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHHAED/Endpoint/JHHAED

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1508887290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DALE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071815",
            "telephone_number": "860-521-9451",
            "fax_number": "860-232-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DALE ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071815",
            "telephone_number": "860-521-9451",
            "fax_number": "860-232-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLNER",
        "first_name": "MURRAY",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "18806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188069",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.