Individual provider Active NPI

Daniel Frederic Hartman, MD

  • Internal Medicine Physician
  • New London, CT
National Provider Identifier
1609977784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
034317 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 034317 CT Primary

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

26 Fowler Rd
North Stonington, CT 06359-1104
Phone (860) 535-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070529000029 CT Practitioner - Internal MedicinePractitioner - Emergency Medicine 7416051040 Reassigns benefits to 4 organizations
I20160922001392 MA Practitioner - Internal Medicine 7416051040 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034317CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Sep 3, 2019 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Reliant Medical Group, Inc Internal Medicine CurrentSince Jul 29, 2024 Accepting new patients
Atrius Health, Inc. Internal Medicine Current Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Jan 26, 1996 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. CurrentSince Sep 1, 2013 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. CurrentSince Sep 1, 2013 Accepting new patients
Lawrence and Memorial Hospital, Inc. Internal Medicine CurrentSince Jan 26, 1996 Accepting new patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Jul 18, 2017 Accepting new patients

Locations

194 Howard St
New London, CT 06320
Phone (860) 442-0564

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

91 Voluntown Rd
Pawcatuck, CT 06379
Phone (860) 599-5477

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

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

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

111 Grossman Dr
Braintree, MA 02184
Phone (781) 849-1000

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

366 Shrewsbury St
Worcester, MA 01604
Phone (508) 595-2700

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Organizations & group practices 10

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609977784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FOWLER RD",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591104",
            "telephone_number": "860-535-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "DANIEL",
        "middle_name": "FREDERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "034317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.