Individual provider Active NPI

Munish K Shastri, M.D.

  • Internal Medicine Physician
  • Bloomfield, CT
National Provider Identifier
1649280538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037595 Issued in CT
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

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 1355246950, 214 clinicians
Hospitalist Medicine Physicians of Connecticut LLCGroup PAC ID 8628104072, 36 clinicians

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 Home health agency, East Hartford, CT, CCN 077041
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Civita Care Meadowbrook Nursing home, Granby, CT, CCN 075367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037595CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Internal Medicine CurrentSince Mar 13, 2000 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Apr 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.