Anisha J Advani
Individual provider Active NPI Hospitalist Physician · New Haven, CT
NPI 1881836799 · NPPES record last updated Aug 22, 2014
Key facts
- NPI
- 1881836799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 53420 (CT)
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Mar 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Icahn School of Medicine at Mount Sinai, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4741
Hospital & facility affiliations
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141022000499 | CT | Practitioner - Hospitalist |
7719138791 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Mill Hill Medical Consultants Inc | Current |
Accepting new patients |
Locations
20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741
20 York St
North Haven, CT 06510
Phone (203) 688-2433
20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- aadvani161590@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 251170 | MA | |
| Hospitalist Physician | 208M00000X | 53420 | CT | Yes |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4748
Other providers in New Haven, CT
- Adwoa Gyamfua Adu-Amoako
- Advanced Center for Nursing & Rehabilitation LLC
- Advanced Dental Sleep Medicine of Connecticut, PC
- Advanced Diagnostic Pain Treatment Centers PC
- Advanced Nursing & Rehabilitation Center of New Haven LLC
- Stephen Advocate
- Anna Afasizheva
- Affiliated Foot Surgeons PC
- Affiliates for Consultation and Psychotherapy
- Affinity Health & Wellenss Inc
All providers in New Haven, CT · Hospitalist 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 Aug 22, 2014. 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.