Individual provider Active NPI

Ali O Erol, M.D.

  • Internal Medicine Physician
  • Hartford, CT
National Provider Identifier
1639118565
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036014 Issued in CT
Practice address
901 Wethersfield Ave
2ND Floor
Hartford, CT 06114
Phone
(860) 296-6006
Fax
(860) 296-6007
NPI assigned
Jun 6, 2006
Last updated
Jun 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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 036014 CT Primary

Addresses

Primary practice location

901 Wethersfield Ave
2ND Floor
Hartford, CT 06114

Mailing address

901 Wethersfield Ave
2ND Floor
Hartford, CT 06114
Phone (860) 296-6006

Other identifiers 1

IdentifierTypeStateIssuer
001360148MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028001204 CT Practitioner - Internal Medicine 9335333848 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ali O. Erol, MD LLC Internal Medicine CurrentSince May 4, 2015 Accepting new patients
Hartford Physician Services PC Internal Medicine Past Accepting new patients
O'Malley Chiropractic Health Center, LLC PastSince Sep 28, 2011 Accepting new patients

Locations

901 Wethersfield Ave
Hartford, CT 06114
Phone (860) 268-6872

901 Wethersfield Ave
Fl 2
Hartford, CT 06114
Phone (860) 268-6872

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12498/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1639118565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WETHERSFIELD AVE",
            "address_2": "2ND FLOOR",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06114",
            "telephone_number": "860-296-6006",
            "fax_number": "860-296-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WETHERSFIELD AVE",
            "address_2": "2ND FLOOR",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06114",
            "telephone_number": "860-296-6006",
            "fax_number": "860-296-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROL",
        "first_name": "ALI",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001360148",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.