NPIMap

Individual provider Active NPI

Redi Ferizaj, MD

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1568950350
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67146 Issued in CT
Practice address
2222 Benwood St
Harlingen, TX 78550-8532
Phone
(956) 389-2448
Fax
(956) 389-2498
NPI assigned
Apr 26, 2018
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 67146 CT Primary

Addresses

Primary practice location

2222 Benwood St
Harlingen, TX 78550-8532

Mailing address

2222 Benwood St
Harlingen, TX 78550-8532
Phone (956) 389-2448

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
I20210419001256 CT Practitioner - Family Practice 6709133994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Connecticut LLCGroup PAC ID 8628104072, 36 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
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

LicenseStateTypeSpecialty
67146CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 13, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 13, 2021 Accepting new patients
Sound Physicians of Massachusetts II PC CurrentSince Apr 1, 2022 Accepting new patients
Rivercross Health Corp Family Medicine Current Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1568950350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BENWOOD ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508532",
            "telephone_number": "956-389-2448",
            "fax_number": "956-389-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BENWOOD ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508532",
            "telephone_number": "956-389-2448",
            "fax_number": "956-389-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERIZAJ",
        "first_name": "REDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "67146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.