Active NPI
Kumkum Modwel, M.D.
- Family Medicine Physician
- Torrington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 039256
- Practice address
- 895 E Main St
Torrington, CT 06790-3918 - Phone
- (860) 489-1291
- Fax
- (860) 489-1804
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 039256 | CT | Primary |
Addresses
Primary practice location
895 E Main St
Torrington, CT 06790-3918
Mailing address
895 E Main St
Torrington, CT 06790-3918
Phone (860) 489-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001392563 | 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
- Family Practice
- Education
- Columbia University College of Physicians and Surgeons, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
765 Main St
Monroe, CT 06468-2810
Phone (203) 261-5230
Hospital & facility affiliations
- Elara Caring
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039256 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Hospital | Past | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
765 Main St
Ste 101
Monroe, CT 06468
765 Main St
Ste 100
Monroe, CT 06468
Phone (914) 844-5428
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
Interoperability endpoints
- kumkum.modwel@xdr.hhchealthdirect.org
Organizations & group practices 6
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
Family Medicine
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rocky Hill, CT
- NPI 1255333597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1720011943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 E MAIN ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067903918",
"telephone_number": "860-489-1291",
"fax_number": "860-489-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 E MAIN ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067903918",
"telephone_number": "860-489-1291",
"fax_number": "860-489-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODWEL",
"first_name": "KUMKUM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "039256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001392563",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.