Active NPI
Munish K Shastri, M.D.
- Internal Medicine Physician
- Bloomfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 037595
- Practice address
- 6 Northwestern Dr
Suite 201
Bloomfield, CT 06002-3463 - Phone
- (860) 242-6297
- Fax
- (860) 243-2371
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- 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 | 037595 | CT | Primary |
Addresses
Primary practice location
6 Northwestern Dr
Suite 201
Bloomfield, CT 06002-3463
Mailing address
4 Farm Springs Rd
Prohealth Physicians
Farmington, CT 06032-2573
Phone (860) 284-5200
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090211000016 | CT | Practitioner - Internal Medicine | 5799840575 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prohealth Physicians PCHospitalist Medicine Physicians of Connecticut LLC
Practice addresses (Care Compare)
115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-5814
631 Quaker S LN
West Hartford, CT 06110-1026
Phone (860) 231-6130
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222
816 Broad St
Meriden, CT 06450-4350
950 Yale Ave
Wallingford, CT 06492-1858
Phone (203) 265-9600
Hospital & facility affiliations
- Hartford Healthcare at Home
- Manchester Memorial Hospital
- Civita Care Meadowbrook
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037595 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts II PC | Internal Medicine | Current | Accepting new patients |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients |
Locations
6 Northwestern Dr
Ste 201
Bloomfield, CT 06002
Phone (860) 242-1983
4 Farm Springs Rd
Farmington, CT 06032
Phone (860) 284-5200
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- munish.shastri.npi1649280538.phpct@direct.optumcare.masshiway.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.
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
CT, Internal Medicine
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1558696153
CT
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1306376397
CT, Internal Medicine
-
- Specialist
- South Windsor, CT
- NPI 1497864516
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649280538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FARM SPRINGS RD",
"address_2": "PROHEALTH PHYSICIANS",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322573",
"telephone_number": "860-284-5200",
"fax_number": "860-284-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 NORTHWESTERN DR",
"address_2": "SUITE 201",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023463",
"telephone_number": "860-242-6297",
"fax_number": "860-243-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHASTRI",
"first_name": "MUNISH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "037595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.