Active NPI
Michael F Collins, MD
- Internal Medicine Physician
- East Hartford, CT
National Provider Identifier
1811966997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 028808
- Practice address
- 800 Connecticut Blvd
Internal Medicine
East Hartford, CT 06108-7303 - Phone
- (860) 282-3894
- Fax
- (860) 282-8582
- NPI assigned
- Mar 14, 2006
- Last updated
- Feb 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 028808 | CT | Primary |
Addresses
Primary practice location
800 Connecticut Blvd
Internal Medicine
East Hartford, CT 06108-7303
Mailing address
263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
Phone (860) 679-4477
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811966997 | Medicaid | CT | |
| 7702017 | Other | CT | AETNA |
| P3925929 | Other | CT | OXFORD |
| 2997745 | Other | CT | CIGNA HEALTH CARE |
| 028808 | Other | CT | CONNECTICARE |
| 010028808CT05 | Other | CT | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Past | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation Inc | Internal Medicine | Past | Accepting new patients |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients |
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 Eastern CT Medical Professionals
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
Internal Medicine
-
dba Eastern Orthopeadics and Sports Medicine, PC
- Specialist
- South Windsor, CT
- NPI 1497864516
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1811966997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"address_2": "PROVIDER ENROLLMENT",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060302212",
"telephone_number": "860-679-4477",
"fax_number": "860-679-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CONNECTICUT BLVD",
"address_2": "INTERNAL MEDICINE",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061087303",
"telephone_number": "860-282-3894",
"fax_number": "860-282-8582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MICHAEL",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "028808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811966997",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7702017",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3925929",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "2997745",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "028808",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010028808CT05",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
- Ann E Cocks, APRN
- Imani Cohen
- Colleen Coke
- Stephanie Jean Collin
- Daniel Collins, M.D.
- Latoia D Comeaux, LMSW,LADC
- Comfortably Complicated Therapy & Wellness
- Community Matters Outpatient Psychiatric Clinic for Children, Inc.
- Community Matters, LLC (Tangie R. McDougald)
- Community Pharmacy Inc (Riverside Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.