Individual provider Active NPI

Harold Sandals, M.D.

  • Internal Medicine Physician
  • Tolland, CT
National Provider Identifier
1659348134
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
023353 Issued in CT
Practice address
384 Merrow Rd
Tolland, CT 06084-3970
Phone
(860) 875-2099
Fax
(860) 872-3021
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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 023353 CT Primary

Addresses

Primary practice location

384 Merrow Rd
Tolland, CT 06084-3970

Mailing address

PO Box 3249
Vernon, CT 06066-2149
Phone (860) 872-2289

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
I20070910000765 CT Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3577656321 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Home and Hospital IncGroup PAC ID 1759279961, 7 clinicians
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

1 Abrahms Blvd
West Hartford, CT 06117-1508
Phone (860) 218-2300

100 Retreat Ave
Hartford, CT 06106-2508
Phone (860) 549-7970

100 Retreat Ave
Hartford, CT 06106-2528
Phone (860) 545-5000

111 Park St
Hartford, CT 06106-2520
Phone (860) 972-2780

118 Main St
Hartford, CT 06106-1817
Phone (860) 827-7690

119 Washington St
Hartford, CT 06106-4406
Phone (860) 827-7690

132 Jefferson St
Hartford, CT 06106-2404
Phone (860) 972-0200

150 Charter Oak Ave
Hartford, CT 06106-5102
Phone (860) 827-7690

151 Hillside Ave
Hartford, CT 06106-3527
Phone (860) 951-1060

175 Main St
Hartford, CT 06106-1818
Phone (860) 827-7690

200 Retreat Ave
Hartford, CT 06106-3310
Phone (860) 545-7500

282 Washington St
Hartford, CT 06106-3322

31 Seymour St
FL 2
Hartford, CT 06106-5521
Phone (860) 972-0050

32 Seymour St
Hartford, CT 06106-3321
Phone (860) 696-5950

35 Seymour St
Hartford, CT 06106-5521
Phone (860) 827-7690

560 Hudson St
Suite 253
Hartford, CT 06106-2501
Phone (860) 972-4444

614 New Britain Ave
Hartford, CT 06106-4033
Phone (860) 827-7690

705 New Britain Ave
Avery Heights
Hartford, CT 06106-4039
Phone (860) 527-4663

75 Main St
Hartford, CT 06106-1806
Phone (860) 827-7690

79 Retreat Ave
Hartford, CT 06106-2527
Phone (860) 972-2176

80 Seymour St
Hartford, CT 06102-8000

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 827-7690

90 Retreat Ave
Hartford, CT 06106-2535
Phone (860) 560-2274

Hospital & facility affiliations

  • Waterbury Hospital Hospital, Waterbury, CT, CCN 070005
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023353CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Home and Hospital, Inc CurrentSince Nov 1, 2010 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Hartford Hospital CurrentSince Aug 1, 2014 Accepting new patients
Hebrew Home and Hospital Inc CurrentSince Nov 1, 2010 Accepting new patients
Hartford Hospital CurrentSince Aug 1, 2014 Accepting new patients
Connecticut Geriatric Specialty Group, PC Internal Medicine CurrentSince Nov 1, 2010 Accepting new patients
Healthwise Medical Associates, LLP Internal Medicine Past Accepting new patients
Prohealth Physicians PC Internal Medicine PastSince Sep 1, 2004 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients

Locations

1 Abrahms Blvd
West Hartford, CT 06117
Phone (860) 218-2300

Organizations & group practices 9

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1659348134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3249",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662149",
            "telephone_number": "860-872-2289",
            "fax_number": "896-896-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 MERROW RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843970",
            "telephone_number": "860-875-2099",
            "fax_number": "860-872-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDALS",
        "first_name": "HAROLD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "023353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

Verify at the official NPI Registry.