NPIMap

Individual provider Active NPI

Saima J Ansari, M.D.

  • Pulmonary Disease Physician
  • Vernon, CT
National Provider Identifier
1841309192
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
046328 Issued in CT
Practice address
27 Naek Rd Ste 2
Vernon, CT 06066-3965
Phone
(860) 875-2444
Fax
(860) 872-2936
NPI assigned
Aug 30, 2006
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 046328 CT
Pulmonary Disease Physician 207RP1001X 046328 CT Primary

Addresses

Primary practice location

27 Naek Rd Ste 2
Vernon, CT 06066-3965

Mailing address

79 Wawecus St
Suite 102
Norwich, CT 06360-2160
Phone (860) 204-9735

Other practice location 1

79 Wawecus St
Suite 102
Norwich, CT 06360-2160
Phone (860) 204-9735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000666 CT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 7315005949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeastern Pulmonary Associates LLCGroup PAC ID 6608866983, 5 clinicians
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians
Northeastern Asthma and Allergy Associates LLCGroup PAC ID 5698868537, 3 clinicians

Practice addresses (Care Compare)

27 Naek Rd
Suite 2
Vernon, CT 06066-3965
Phone (860) 875-2444

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

330 Pomfret St
Putnam, CT 06260-1854
Phone (860) 928-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046328CTMDCritical Care Medicine (Internal Medicine) Physician
034821CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Asthma & Allergy Associates, LLC Pulmonary Disease CurrentSince Jan 1, 2024 Accepting new patients
The William W Backus Hospital Current Accepting new patients
The William W Backus Hospital CurrentSince Oct 10, 2018 Accepting new patients
Northeastern Pulmonary Associates LLC Pulmonary Disease CurrentSince Mar 1, 2014 Accepting new patients

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

330 Pomfret St
Putnam, CT 06260
Phone (860) 928-2736

27 Naek Rd
Ste 2
Vernon Rockville, CT 06066
Phone (860) 875-2444

Interoperability endpoints

  • Direct secure messaging: saima.ansari@glacecentral.com

Organizations & group practices 4

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.

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1841309192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST",
            "address_2": "SUITE 102",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602160",
            "telephone_number": "860-204-9735",
            "fax_number": "860-204-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NAEK RD STE 2",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663965",
            "telephone_number": "860-875-2444",
            "fax_number": "860-872-2936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Wawecus St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602160",
            "country_code": "US",
            "telephone_number": "860-204-9735",
            "fax_number": "860-204-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "SAIMA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "046328",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "046328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.