Active NPI
Phillip Y. Roland, MD
- Gynecologic Oncology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 046991
- Practice address
- 1000 Asylum Ave
Suite 2110
Hartford, CT 06105-1770 - Phone
- (860) 714-7945
- Fax
- (860) 714-8880
- NPI assigned
- Sep 14, 2005
- Last updated
- Nov 25, 2015
- 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | ME0080439 | FL | |
| Gynecologic Oncology Physician | 207VX0201X | 046991 | CT | Primary |
Addresses
Primary practice location
1000 Asylum Ave
Suite 2110
Hartford, CT 06105-1770
Mailing address
1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770
Phone (860) 714-7945
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2541920 | Other | FL | AETNA PROVIDER NUMBER |
| 259334300 | Medicaid | FL | |
| 3503291-002 | Other | FL | CIGNA PROVIDER NUMBER |
| 5250568 | Other | FL | AETNA OTHER PROV. # |
| 851882 | Other | FL | FIRST HEALTH PROVIDER # |
| 35479 | Other | FL | BCBS OF FL. PROVIDER # |
| 36-00184 | Other | FL | UTD. HLTHCR. PROVIDER # |
| 920005669 | Other | FL | RAILROAD MEDICARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046991 | CT | MD | Gynecologic Oncology Physician |
| ME0080439 | FL | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Gynecologic Oncology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Saint Francis Care Medical Group, PC | Past | Accepting new patients |
Locations
1000 Asylum Ave
Ste 2110
Hartford, CT 06105
Phone (860) 714-4508
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Gynecologic Oncology
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1508172545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1780679969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "SUITE 2109A",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-714-7945",
"fax_number": "860-714-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "SUITE 2110",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-714-7945",
"fax_number": "860-714-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLAND",
"first_name": "PHILLIP",
"middle_name": "Y.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "FL",
"license": "ME0080439",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CT",
"license": "046991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2541920",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259334300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "3503291-002",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA OTHER PROV. #",
"identifier": "5250568",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROVIDER #",
"identifier": "851882",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL. PROVIDER #",
"identifier": "35479",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTD. HLTHCR. PROVIDER #",
"identifier": "36-00184",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "920005669",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.