Individual provider Active NPI

Mohammad Pazooki, MD

  • Hematology & Oncology Physician
  • Hartford, CT
National Provider Identifier
1881851616
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
047129 Issued in CT
Practice address
43 Woodland St
Suite G-80, Gothic Park
Hartford, CT 06105-2362
Phone
(860) 527-5803
Fax
(860) 525-3687
NPI assigned
May 20, 2008
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 047129 CT Primary

Addresses

Primary practice location

43 Woodland St
Suite G-80, Gothic Park
Hartford, CT 06105-2362

Mailing address

100 Haynes St FL 2
Dequattro Cancer Center
Manchester, CT 06040-4113
Phone (860) 646-0670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000216 CT Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9436220761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Haynes St
FL 2
Manchester, CT 06040-4113
Phone (860) 646-0670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as individual
Quality
61.88
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Jan 1, 2017 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Jan 1, 2017 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology Past Accepting new patients

Locations

43 Woodland St
Ste G80
Hartford, CT 06105
Phone (860) 527-5803

100 Haynes St
#2
Manchester, CT 06040
Phone (860) 646-0670

345 N Main St
Ste 318
West Hartford, CT 06117
Phone (860) 527-5803

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

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.

Hospital & facility affiliations 4

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1881851616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAYNES ST FL 2",
            "address_2": "DEQUATTRO CANCER CENTER",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404113",
            "telephone_number": "860-646-0670",
            "fax_number": "860-643-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WOODLAND ST",
            "address_2": "SUITE G-80, GOTHIC PARK",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052362",
            "telephone_number": "860-527-5803",
            "fax_number": "860-525-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZOOKI",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "047129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.