NPIMap

Individual provider Active NPI

Adam E Perrin, MD

  • Family Medicine Physician
  • Hartford, CT
National Provider Identifier
1558337683
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
031688 Issued in CT
Practice address
99 Woodland St
Hartford, CT 06105-1207
Phone
(860) 714-4212
Fax
(860) 714-8080
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 031688 CT Primary

Addresses

Primary practice location

99 Woodland St
Hartford, CT 06105-1207

Mailing address

99 Woodland St
Hartford, CT 06105-1207
Phone (860) 714-4212

Other identifiers 2

IdentifierTypeStateIssuer
001316886MedicaidCT
031688OtherCTCONN LIC #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aperrin14054@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926001044 CT Practitioner - Family Practice 0648204941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asylum Hill Family Medicine Center, Inc.Group PAC ID 9032016134, 24 clinicians

Practice addresses (Care Compare)

99 Woodland St
Hartford, CT 06105-1207
Phone (860) 714-4212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031688CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Family Medicine Current Accepting new patients
Asylum Hill Family Medicine Center Inc Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Middlesex Hospital Family Medicine CurrentSince Aug 30, 2012 Accepting new patients
Middlesex Hospital Dba Family Practice Group Portland Family Medicine CurrentSince Aug 30, 2012 Accepting new patients
MHS Primary Care Inc Family Medicine Past Accepting new patients
Asylum Hill Family Medicine Center Inc Past Accepting new patients

Locations

99 Woodland St
Hartford, CT 06105
Phone (860) 714-4212

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

Interoperability endpoints

  • Direct secure messaging: adam.perrin.1@27899.direct.athenahealth.com
  • Direct secure messaging: aperrin2388170@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1558337683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051207",
            "telephone_number": "860-714-4212",
            "fax_number": "860-714-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051207",
            "telephone_number": "860-714-4212",
            "fax_number": "860-714-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "ADAM",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "031688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001316886",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONN LIC #",
            "identifier": "031688",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aperrin14054@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Asylum Hill Family Medicine Center Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "99 Woodland St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061051207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.