Individual provider Active NPI

M Hasan Yekta, MD

  • Pulmonary Disease Physician
  • East Hartford, CT
National Provider Identifier
1669476016
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
017642 Issued in CT
Practice address
27 Burnside Ave
East Hartford, CT 06108-3405
Phone
(860) 528-7161
Fax
(860) 528-7163
NPI assigned
Jun 13, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 017642 CT Primary

Addresses

Primary practice location

27 Burnside Ave
East Hartford, CT 06108-3405

Mailing address

27 Burnside Ave
East Hartford, CT 06108-3405
Phone (860) 528-7161

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
I20091124000271 CT Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Pulmonary Disease 7012908361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Hasan Yekta MD PCGroup PAC ID 2668463985, 5 clinicians

Practice addresses (Care Compare)

290 Collins St
Hartford, CT 06105-1549
Phone (860) 246-0500

Hospital & facility affiliations

  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017642CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M. Hasan Yekta, M.D. P.C. CurrentSince Oct 10, 1986 Accepting new patients
Shafa Medical Clinic PC Past Accepting new patients

Locations

27 Burnside Ave
East Hartford, CT 06108
Phone (860) 528-7161

290 Collins St
Hartford, CT 06105
Phone (860) 246-0500

290 Collins St
Fl 2
Hartford, CT 06105

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18519/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 1

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1669476016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083405",
            "telephone_number": "860-528-7161",
            "fax_number": "860-528-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083405",
            "telephone_number": "860-528-7161",
            "fax_number": "860-528-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEKTA",
        "first_name": "M",
        "middle_name": "HASAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-10-10",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "017642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.