Individual provider Active NPI

Wylie David Hosmer, MD

  • Hematology & Oncology Physician
  • Southington, CT
National Provider Identifier
1720136757
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
048427 Issued in CT
Practice address
55 Meriden Ave Ste 1a
Southington, CT 06489-3237
Phone
(860) 621-9316
Fax
(860) 620-5526
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 048427 CT Primary

Addresses

Primary practice location

55 Meriden Ave Ste 1a
Southington, CT 06489-3237

Mailing address

55 Meriden Ave Ste 1a
Southington, CT 06489-3237
Phone (860) 621-9316

Other identifiers 1

IdentifierTypeStateIssuer
00A937780MedicaidCA

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
I20101008000560 CT Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8628175262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121

183 N Mountain Rd
New Britain, CT 06053-4325
Phone (860) 224-5011

81 Meriden Ave
Southington, CT 06489-3268
Phone (860) 276-5000

Hospital & facility affiliations

  • Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048427CTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 24, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Hematology & Oncology CurrentSince Sep 1, 2010 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 24, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Sep 1, 2010 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Locations

22 Pine St
Ste 104
Bristol, CT 06010
Phone (860) 314-2002

183 N Mountain Rd
Ste 205
New Britain, CT 06053

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

183 N Mountain Rd
New Britain, CT 06053
Phone (860) 827-4161

201 N Mountain Rd
Ste 202
Plainville, CT 06062
Phone (860) 224-4408

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

55 Meriden Ave
Ste 1A
Southington, CT 06489
Phone (860) 621-9316

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

1290 Silas Deane Hwy
#2
Wethersfield, CT 06109

Interoperability endpoints

  • Direct secure messaging: wylie.hosmer@xdr.hhchealthdirect.org

Organizations & group practices 5

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1720136757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERIDEN AVE STE 1A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893237",
            "telephone_number": "860-621-9316",
            "fax_number": "860-620-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERIDEN AVE STE 1A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893237",
            "telephone_number": "860-621-9316",
            "fax_number": "860-620-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSMER",
        "first_name": "WYLIE",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "048427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A937780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.