Individual provider Active NPI

Evelyn Smith, MD

  • Internal Medicine Physician
  • Glastonbury, CT
National Provider Identifier
1518062850
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021995 Issued in CT
Practice address
704 Hebron Ave
Suite 201
Glastonbury, CT 06033-5020
Phone
(860) 659-1379
Fax
(860) 659-4648
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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 021995 CT Primary

Addresses

Primary practice location

704 Hebron Ave
Suite 201
Glastonbury, CT 06033-5020

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 258-3480

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
I20100823000798 CT Practitioner - Internal Medicine 8123109287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 1977
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)

704 Hebron Ave
Glastonbury, CT 06033-5020
Phone (860) 258-3480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021995CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC Internal Medicine CurrentSince Sep 6, 1996 Accepting new patients
Starling Physicians PLLC CurrentSince Sep 6, 1996 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

100 Simsbury Rd
Ste 206
Avon, CT 06001
Phone (860) 676-4820

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820

1345 Farmington Ave
Bristol, CT 06010
Phone (860) 585-0000

704 Hebron Ave
Ste 201
Glastonbury, CT 06033
Phone (860) 659-1379

704 Hebron Ave
Glastonbury, CT 06033
Phone (888) 781-9604

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

2110 Silas Deane Hwy
Rocky Hill, CT 06067

1260 Silas Deane Hwy
Ste 107
Wethersfield, CT 06109
Phone (860) 258-3474

Interoperability endpoints

  • Direct secure messaging: evelyn.smith@xdr.hhchealthdirect.org

Organizations & group practices 4

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1518062850",
    "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": "060672313",
            "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": "704 HEBRON AVE",
            "address_2": "SUITE 201",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335020",
            "telephone_number": "860-659-1379",
            "fax_number": "860-659-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVELYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "021995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.