Active NPI
Taslima Shaikh, M.D.
- Family Medicine Physician
- Wethersfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 62433
- Practice address
- 1025 Silas Deane Hwy
Wethersfield, CT 06109-4223 - Phone
- (860) 696-2400
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 62433 | CT | Primary |
Addresses
Primary practice location
1025 Silas Deane Hwy
Wethersfield, CT 06109-4223
Mailing address
61 Pomeroy Ave
Suite 105/108
Meriden, CT 06451
Phone (833) 861-5433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62433 | Other | CT | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
61 Pomeroy Ave
Meriden, CT 06450-7482
Phone (203) 694-5340
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients |
Locations
399 Farmington Ave
Ste 200
Farmington, CT 06032
Phone (860) 524-4388
61 Pomeroy Ave
Ste 105108
Meriden, CT 06450
61 Pomeroy Ave
Meriden, CT 06450
Phone (203) 694-5340
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
462 Queen St
Ste 203
Southington, CT 06489
Phone (860) 628-3518
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296
1290 Silas Deane Hwy
Ste 102
Wethersfield, CT 06109
Interoperability endpoints
- taslima.shaikh@xdr.hhchealthdirect.org
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 and National Provider Directory roles.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Family Medicine
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1902217870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 POMEROY AVE",
"address_2": "SUITE 105/108",
"city": "MERIDEN",
"state": "CT",
"postal_code": "06451",
"telephone_number": "833-861-5433",
"fax_number": "860-224-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094223",
"telephone_number": "860-696-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "TASLIMA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "62433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "62433",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.