NPIMap

Individual provider Active NPI

Evan L Schiff, MD

  • Internal Medicine Physician
  • Avon, CT
National Provider Identifier
1609853118
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043092 Issued in CT
Practice address
36 E Main St
Avon, CT 06001-3801
Phone
(860) 677-5533
Fax
(860) 678-1305
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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 043092 CT Primary

Addresses

Primary practice location

36 E Main St
Avon, CT 06001-3801

Mailing address

36 E Main St
Avon, CT 06001-3801
Phone (860) 677-5533

Other identifiers 1

IdentifierTypeStateIssuer
001430925MedicaidCT

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
I20050415000751 CT Practitioner - Internal Medicine 9133166549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avon Medical Professionals, LLCGroup PAC ID 8224091384, 3 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

36 E Main St
Avon, CT 06001-3801
Phone (860) 677-5533

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • McLean Home Care and Hospice Home health agency, Simsbury, CT, CCN 077166
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Interim Healthcare of Hartford, Inc Home health agency, Farmington, CT, CCN 077134
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions41
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043092CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avon Medical Professionals, LLC Internal Medicine CurrentSince Jun 2, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hartford Physician Services PC Internal Medicine Past Accepting new patients
Ralph Rosenberg MD Internal Medicine Past Accepting new patients

Locations

36 E Main St
Avon, CT 06001
Phone (860) 674-0333

Interoperability endpoints

  • Direct secure messaging: evanschiff@rrmdesmd.allscriptsdirect.net

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.

Hospital & facility affiliations 8

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1609853118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013801",
            "telephone_number": "860-677-5533",
            "fax_number": "860-678-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013801",
            "telephone_number": "860-677-5533",
            "fax_number": "860-678-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFF",
        "first_name": "EVAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001430925",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.