Individual provider Active NPI

Abhishek Jaiswal, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Hartford, CT
National Provider Identifier
1659699783
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
057192 Issued in CT
Practice address
80 Seymour St
Hartford, CT 06102-8000
Phone
(860) 972-1212
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD206818 LA
Cardiovascular Disease Physician 207RC0000X 057192 CT
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 057192 CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-1212

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
I20180110002022 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9436375094 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

130 Division St
Derby, CT 06418-1326
Phone (203) 648-4779

1952 Whitney Ave
Hamden, CT 06517-1209
Phone (203) 867-5300

2800 Main St
Bridgeport, CT 06606-4201

425 Post Rd
Fairfield, CT 06824-6232
Phone (203) 254-2452

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057192CTMDAdvanced Heart Failure and Transplant Cardiology Physician
MD206818LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Hospital CurrentSince Dec 1, 2017 Accepting new patients
Midstate Medical Center CurrentSince Jan 5, 2018 Accepting new patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince Jan 5, 2018 Accepting new patients
Hartford Hospital CurrentSince Dec 1, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 5, 2020 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Jan 5, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Aug 5, 2020 Accepting new patients
Hartford Hospital CurrentSince Dec 1, 2017 Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: abhishek.jaiswal@xdr.hhchealthdirect.org

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.

Hospital & facility affiliations 4

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1659699783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-972-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-972-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISWAL",
        "first_name": "ABHISHEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD206818",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "057192",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "CT",
            "license": "057192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.