Active NPI
Isma Arif Mian, M.D.
- Internal Medicine Physician
- Southington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 066581
- Practice address
- 462 Queen Street
Suite 301
Southington, CT 06489-1801 - Phone
- (860) 621-6704
- NPI assigned
- Apr 10, 2017
- Last updated
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 066581 | CT | Primary |
Addresses
Primary practice location
462 Queen Street
Suite 301
Southington, CT 06489-1801
Mailing address
1290 Silas Deane Hwy
HHC Cvo Enrollment 1St Floor
Wethersfield, CT 06109-4337
Phone (860) 972-6970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066581 | Other | CT | CT LIC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
462 Queen St
Southington, CT 06489-1801
Phone (860) 276-5144
Hospital & facility affiliations
- Hartford Healthcare at Home
- Franciscan Home Care and Hospice Care
- Hartford Healthcare at Home
- The Hospital of Central Connecticut
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- Quality
- 83.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group, Inc | Past | Accepting new patients |
Locations
462 Queen St
Southington, CT 06489
Phone (860) 276-5144
462 Queen St
Ste 301
Southington, CT 06489
Phone (860) 621-6704
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970
Interoperability endpoints
- isma.mian@xdr.hhchealthdirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Meriden, CT
- NPI 1083613798
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1588197230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY",
"address_2": "HHC CVO ENROLLMENT 1ST FLOOR",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337",
"telephone_number": "860-972-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 QUEEN STREET",
"address_2": "SUITE 301",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064891801",
"telephone_number": "860-621-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIAN",
"first_name": "ISMA",
"middle_name": "ARIF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "066581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LIC",
"identifier": "066581",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.