Individual provider Active NPI

Mamta Singh, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Willimantic, CT
National Provider Identifier
1891031522
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
56712 Issued in CT
Practice address
5 Founders St
Willimantic, CT 06226-2048
Phone
(860) 423-9764
NPI assigned
Dec 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 56712 CT Primary

Addresses

Primary practice location

5 Founders St
Willimantic, CT 06226-2048

Mailing address

5 Founders St
Willimantic, CT 06226-2048

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
I20180522002127 CT Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0244542066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

28 Main St
East Hartford, CT 06118-3243
Phone (860) 568-8364

Hospital & facility affiliations

  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2019 Accepting new patients
Medical Access P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Jul 1, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

28 Main St
East Hartford, CT 06118
Phone (860) 568-7212

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

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

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

5 Founders St
Willimantic, CT 06226
Phone (860) 423-9764

5 Founders St
Ste 102
Willimantic, CT 06226
Phone (860) 423-5000

Interoperability endpoints

  • Direct secure messaging: mamtasingh@mpp.allscriptsdirect.net
  • Direct secure messaging: ms_msing437@landmarkhealth-direct.org

Organizations & group practices 5

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 1

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": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1891031522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FOUNDERS ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FOUNDERS ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262048",
            "telephone_number": "860-423-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "MAMTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "56712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.