NPIMap

Individual provider Active NPI

Emmanuel Eroume a Egom, MD, PHD

  • Cardiovascular Disease Physician
  • Hartford, CT
National Provider Identifier
1871355669
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
76021 Issued in CT
Practice address
85 Jefferson St Ste 216
Hartford, CT 06106-2602
Phone
(437) 983-1090
NPI assigned
Jan 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 76021 CT Primary

Addresses

Primary practice location

85 Jefferson St Ste 216
Hartford, CT 06106-2602

Mailing address

85 Jefferson St Ste 216
Hartford, CT 06106-2602
Phone (437) 983-1090

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
I20240221000678 CT Practitioner - Cardiovascular Disease (Cardiology) 2062856792 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
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
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

462 Queen St
Southington, CT 06489-1801

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76021CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center CurrentSince Jan 15, 2024 Accepting new patients
Midstate Medical Center Current Accepting new patients
Hartford Hospital CurrentSince Jan 15, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jan 15, 2024 Accepting new patients
Hartford Hospital CurrentSince Jan 15, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jan 15, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 15, 2024 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Midstate Medical Center CurrentSince Jan 15, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Cardiovascular Disease Current Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Jan 15, 2024 Accepting new patients
Harmony Health Physical and Spiritual Wellness Center Harmony Care Cardiovascular Disease Current Accepting new patients

Locations

85 Jefferson St
Ste 216
Hartford, CT 06106
Phone (437) 983-1090

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

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

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

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

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1871355669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 JEFFERSON ST STE 216",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062602",
            "telephone_number": "437-983-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 JEFFERSON ST STE 216",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062602",
            "telephone_number": "437-983-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROUME A EGOM",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "76021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.