Active NPI
Mohammed S Anwar, MD
- Pulmonary Disease Physician
- Vernon, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 034310
- Practice address
- 27 Naek Rd Ste 2
Vernon, CT 06066-3965 - Phone
- (860) 875-2444
- Fax
- (860) 872-2936
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 27, 2023
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 034310 | CT | Primary |
Addresses
Primary practice location
27 Naek Rd Ste 2
Vernon, CT 06066-3965
Mailing address
281 Hartford Tpke
Suite 210
Vernon, CT 06066-4784
Phone (860) 875-2444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001343102 | Medicaid | CT | |
| 001230465 | Medicaid | CT |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Yale University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
27 Naek Rd
Suite 2
Vernon, CT 06066-3965
Phone (860) 875-2444
330 Pomfret St
Putnam, CT 06260-1854
Phone (860) 928-5864
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034310 | CT | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Asthma & Allergy Associates, LLC | Pulmonary Disease | Current | Accepting new patients |
| Northeastern Pulmonary Associates | Current | Accepting new patients | |
| Northeastern Pulmonary Associates LLC | Pulmonary Disease | Current | Accepting new patients |
Locations
330 Pomfret St
Putnam, CT 06260
Phone (860) 928-2736
27 Naek Rd
Ste 2
Vernon Rockville, CT 06066
Phone (860) 875-2444
281 Hartford Tpke
Ste 210
Vernon Rockvl, CT 06066
Phone (860) 872-8563
Interoperability endpoints
- saud.anwar@glacecentral.com
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.
-
- Pulmonary Disease Physician
- Putnam, CT
- NPI 1124228960
-
- Pulmonary Disease Physician
- Vernon, CT
- NPI 1730134305
-
- Nurse Practitioner
- Vernon, CT
- NPI 1528483807
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1205056371
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1649243478
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
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": "1677456000000",
"number": "1669411104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 HARTFORD TPKE",
"address_2": "SUITE 210",
"city": "VERNON",
"state": "CT",
"postal_code": "060664784",
"telephone_number": "860-875-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 NAEK RD STE 2",
"city": "VERNON",
"state": "CT",
"postal_code": "060663965",
"telephone_number": "860-875-2444",
"fax_number": "860-872-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANWAR",
"first_name": "MOHAMMED",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "034310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001343102",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001230465",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.