Individual provider Active NPI

Sameer Syed, M.D.

  • Internal Medicine Physician
  • Wallingford, CT
National Provider Identifier
1760647176
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048491 Issued in CT
Practice address
The Gaylord Hospital
50 Gaylord Farm Road
Wallingford, CT 06492
Phone
(203) 679-3553
Fax
(203) 284-2847
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048491 CT Primary

Addresses

Primary practice location

The Gaylord Hospital
50 Gaylord Farm Road
Wallingford, CT 06492

Mailing address

The Gaylord Hospital
50 Gaylord Farm Road
Wallingford, CT 06492
Phone (203) 679-3553

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
I20100924000050 CT Practitioner - Internal Medicine 3870639941 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Grand Medical LLCGroup PAC ID 5597084483, 2 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

258 Grand Ave
Suite 1
New Haven, CT 06513-3723
Phone (203) 745-3627

50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 679-3553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006259NYMDOptometrist
048491CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center CurrentSince Jan 29, 2012 Accepting new patients
Midstate Medical Center CurrentSince Jan 29, 2012 Accepting new patients
Grand Medical LLC Internal Medicine CurrentSince Apr 7, 2015 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Feb 18, 2019 Accepting new patients
Shukla Medical Services PLLC Internal Medicine Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

258 Grand Ave
#1
New Haven, CT 06513
Phone (203) 745-3627

20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

Interoperability endpoints

  • Direct secure messaging: ssyed63824@direct.ynhh.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.

Hospital & facility affiliations 2

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1760647176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE GAYLORD HOSPITAL",
            "address_2": "50 GAYLORD FARM ROAD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-679-3553",
            "fax_number": "203-284-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE GAYLORD HOSPITAL",
            "address_2": "50 GAYLORD FARM ROAD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-679-3553",
            "fax_number": "203-284-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "SAMEER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "048491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.