Organization Active NPI

High Street Medical Group, PLLC

  • Internal Medicine Physician
  • Farmington, CT
National Provider Identifier
1740188002
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HIGH STREET MEDICAL GROUP, PLLC
Practice address
11 High St
Farmington, CT 06032-2314
Phone
(860) 917-7344
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
J Kevin Shushtari, MD
Title
Owner
Phone
(860) 917-7344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11 High St
Farmington, CT 06032-2314

Mailing address

11 High St
Farmington, CT 06032-2314
Phone (860) 917-7344

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1740188002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HIGH ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322314",
            "telephone_number": "860-917-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HIGH ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322314",
            "telephone_number": "860-917-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH STREET MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "SHUSHTARI",
        "authorized_official_first_name": "J KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-917-7344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.