Active NPI
Andre Ghantous, M.D.
- Cardiovascular Disease Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 035612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001356121 | Medicaid | CT |
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
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035612 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Cardiovascular Disease | Current | Accepting new patients |
| Midstate Medical Center | Current | Accepting new patients | |
| Midstate Medical Center | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Hospital of Saint Raphael | Past | Accepting new patients | |
| Connecticut Heart Group, P.C. | Past | 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
- 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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Cardiovascular Disease
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1154425288
-
dba The Hospital of Central Connecticut
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Cardiovascular Disease
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Psychiatric Hospital Unit
- Meriden, CT
- NPI 1316022718
-
dba The Hospital of Central Connecticut
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New Haven, CT
- NPI 1538209721
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.