NPIMap

Individual provider Active NPI

Mohammad Ali Akmal Shamsi, MD

  • Psychiatry Physician
  • Hartford, CT
National Provider Identifier
1891807251
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
046237 Issued in CT
Practice address
675 Tower Ave
Suite 301
Hartford, CT 06112-1273
Phone
(860) 714-2750
NPI assigned
Aug 31, 2006
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 046237 CT Primary

Addresses

Primary practice location

675 Tower Ave
Suite 301
Hartford, CT 06112-1273

Mailing address

675 Tower Ave
Suite 301
Hartford, CT 06112-1273
Phone (860) 714-2750

Other identifiers 1

IdentifierTypeStateIssuer
001462373MedicaidCT

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
I20090807000006 CT Practitioner - Psychiatry 5496808578 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of ConnecticutGroup PAC ID 8022915677, shared by 11 NPIs, 267 clinicians

Practice addresses (Care Compare)

1000 Silver St
Middletown, CT 06457-3940
Phone (860) 262-5000

1635 Central Ave
Bridgeport, CT 06610-2717
Phone (203) 551-7464

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 27, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 27, 2022 Accepting new patients
State of Connecticut CurrentSince Oct 2, 2015 Accepting new patients
Prospect Manchester Hospital, Inc. Psychiatry CurrentSince Nov 8, 2023 Accepting new patients
State of Connecticut CurrentSince May 13, 2020 Accepting new patients
Harvest Healthcare LLC Psychiatry CurrentSince Aug 1, 2018 Accepting new patients
State of Connecticut CurrentSince Oct 2, 2015 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Saint Francis Care Medical Group, PC Past Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

500 Blue Hills Ave
Hartford, CT 06112
Phone (860) 714-2681

675 Tower Ave
Ste 301
Hartford, CT 06112
Phone (860) 714-2338

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

Interoperability endpoints

  • Direct secure messaging: mshamsi2389626@direct.trinity-health.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1891807251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "address_2": "SUITE 301",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121273",
            "telephone_number": "860-714-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "address_2": "SUITE 301",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121273",
            "telephone_number": "860-714-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSI",
        "first_name": "MOHAMMAD",
        "middle_name": "ALI AKMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "046237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001462373",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.