Saima J Ansari, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Vernon, CT
NPI 1841309192 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1841309192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 046328 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeastern Pulmonary Associates LLC
The William W Backus Hospital
Northeastern Asthma and Allergy Associates LLC
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
- Day Kimball Hospital
- Manchester Memorial Hospital
- William W Backus Hospital
- Rockville General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.8 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.43
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081024000666 | CT | Practitioner - Pulmonary Disease |
7315005949 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046328 | CT | MD | Pulmonary Disease Physician |
| 034821 | CT | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The William W Backus Hospital | Current |
Accepting new patients | |
| Northeastern Asthma & Allergy Associates, LLC | Pulmonary Disease | Current |
Accepting new patients |
| Northeastern Pulmonary Associates LLC | Pulmonary Disease | Current |
Accepting new patients |
| The William W Backus Hospital | Current | 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
- saima.ansari@glacecentral.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 046328 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 046328 | CT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010046328CT01 | Other | CT | BLUE CARE FAMILY |
| 010046328CT01 | Other | CT | ANTHEM |
| 046328 | Other | CT | CONNECTICARE |
| 061637053 | Other | CT | TRICARE |
| 9888821 | Other | CT | CIGNA |
| 061637053 | Other | CT | HEALTHNET FEDERAL |
Other providers in Vernon, CT
- Tamil Anban
- Andrea Quick Counseling & Mediation LLC
- Tammy Lynn Andrews
- Ebenezer Ofori Anim
- Mahvesh Babar Ansari
- Mohammed S Anwar
- Leif Erik Aronsen
- Around the Clock Nursing Services
- Katerina Ashland
- Associates in Periodontics, PC
All providers in Vernon, CT · Pulmonary Disease Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.