Individual provider Active NPI

Jan R Paris, M.D.

  • Cardiovascular Disease Physician
  • New Britain, CT
National Provider Identifier
1891797775
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
027770 Issued in CT
Practice address
1 Lake St
Grove Hill Medical Center
New Britain, CT 06052-1396
Phone
(860) 223-0220
Fax
(860) 826-4962
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 027770 CT Primary

Addresses

Primary practice location

1 Lake St
Grove Hill Medical Center
New Britain, CT 06052-1396

Mailing address

300 Kensington Ave
Grove Hill Medical Center
New Britain, CT 06051-3916
Phone (860) 223-0220

Other identifiers 12

IdentifierTypeStateIssuer
01027770OtherCTCIGNA
P369898OtherCTOXFORD
060051OtherCTHEALTH NET
1255448155OtherCTGHMC GROUP NPI
001277707MedicaidCT
84010OtherCTAETNA
010027770CT01OtherCTBCBS & BCFP NEW BRITAIN
010027770CT02OtherCTBCBS & BCFP NEWINGTON
060032569OtherCTRAIL ROAD MEDICARE ID
135250OtherCTWELLCARE MEDICARE
004196095MedicaidCT
2770002OtherCTCONNECTICARE

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
I20090206000554 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 2567559602 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley Cardiovascular Disease CurrentSince Apr 26, 2017 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2016 Accepting new patients
Starling Physicians, PLLC Cardiovascular Disease CurrentSince Jan 1, 2016 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Apr 26, 2017 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

100 Retreat Ave
Ste 100
Hartford, CT 06106
Phone (860) 545-9050

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

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

2110 Silas Deane Hwy
Rocky Hill, CT 06067

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891797775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENSINGTON AVE",
            "address_2": "GROVE HILL MEDICAL CENTER",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513916",
            "telephone_number": "860-223-0220",
            "fax_number": "860-826-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKE ST",
            "address_2": "GROVE HILL MEDICAL CENTER",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521396",
            "telephone_number": "860-223-0220",
            "fax_number": "860-826-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "JAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "027770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "01027770",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P369898",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "060051",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMC GROUP NPI",
            "identifier": "1255448155",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001277707",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "84010",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & BCFP NEW BRITAIN",
            "identifier": "010027770CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & BCFP NEWINGTON",
            "identifier": "010027770CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE ID",
            "identifier": "060032569",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE",
            "identifier": "135250",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004196095",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "2770002",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.