Individual provider Active NPI

Andre Ghantous, M.D.

  • Cardiovascular Disease Physician
  • New Haven, CT
National Provider Identifier
1790731354
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
035612 Issued in CT
Practice address
1450 Chapel St
New Haven, CT 06511-4405
Phone
(203) 789-4290
Fax
(203) 789-6046
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 035612 CT Primary

Addresses

Primary practice location

1450 Chapel St
New Haven, CT 06511-4405

Mailing address

1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-6044

Other identifiers 1

IdentifierTypeStateIssuer
001356121MedicaidCT

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
I20040309000189 CT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9335037662 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

863 N Main St Ext
Suite 101
Wallingford, CT 06492-2434
Phone (203) 269-3791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035612CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Feb 1, 2019 Accepting new patients
Yale University CurrentSince Nov 19, 2013 Accepting new patients
Hartford Hospital CurrentSince Feb 1, 2019 Accepting new patients
Hartford Hospital CurrentSince Feb 1, 2019 Accepting new patients
Yale University CurrentSince Nov 19, 2013 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Cardiovascular Disease CurrentSince Feb 1, 2019 Accepting new patients
Midstate Medical Center CurrentSince Feb 1, 2019 Accepting new patients
Midstate Medical Center CurrentSince Feb 1, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Jun 1, 2019 Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Connecticut Heart Group, P.C. PastSince Aug 17, 1993 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Northeast Medical Group, Inc. Cardiovascular Disease Past Accepting new patients
Saint Raphael Faculty Physicians Cardiovascular Disease Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Cardiovascular Disease Past Accepting new patients
Midstate Medical Center Past Accepting new patients
New Haven Radiology Associates, P.C. Past Accepting new patients
New Haven Radiology Associates PC Past Accepting new patients

Locations

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

318 New Haven Ave
Ste B
Milford, CT 06460
Phone (203) 298-9085

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

46 Prince St
Ste 310
New Haven, CT 06519
Phone (203) 867-5300

46 Prince St
Ste 500
New Haven, CT 06519
Phone (203) 867-5300

659 George St
New Haven, CT 06511
Phone (203) 789-3260

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

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

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

863 N Main Street Ext
Ste 101
Wallingford, CT 06492
Phone (203) 269-3791

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: andre.ghantous@xdr.hhchealthdirect.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1790731354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-6044",
            "fax_number": "203-789-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-4290",
            "fax_number": "203-789-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANTOUS",
        "first_name": "ANDRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "035612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001356121",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.