Active NPI
Shaun Patrick Hager, D.O.
- Urology Physician
- Norwich, CT
National Provider Identifier
1740638352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 70425
- Practice address
- 330 Washington St Ste 350
Norwich, CT 06360-2700 - Phone
- (860) 886-1956
- Fax
- (860) 887-2048
- NPI assigned
- May 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 70425 | CT | Primary |
| Urology Physician | 208800000X | 20A18734 | CA |
Addresses
Primary practice location
330 Washington St Ste 350
Norwich, CT 06360-2700
Mailing address
1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220608001655 | CT | Practitioner - Urology | 6507266426 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hartford Healthcare Medical Group Specialists PLLC
Practice addresses (Care Compare)
330 Washington St
Suite 350
Norwich, CT 06360-2700
Phone (860) 889-4991
Hospital & facility affiliations
- William W Backus Hospital
- Lawrence & Memorial Hospital
- Westerly Hospital
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18734 | CA | MD | Clinical Social Worker |
| 20A18734 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Surgery | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients |
Locations
330 Washington St
Ste 350
Norwich, CT 06360
Phone (860) 886-1956
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- shuan.hager@xdr.hhchealthdirect.org
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
CT, Surgery
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
Hospital
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1740638352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY",
"address_2": "HARTFORD HEALTHCARE-CVO",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 WASHINGTON ST STE 350",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602700",
"telephone_number": "860-886-1956",
"fax_number": "860-887-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGER",
"first_name": "SHAUN",
"middle_name": "PATRICK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "70425",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "20A18734",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.