Hartford Hospital
Organization Active NPI General Acute Care Hospital · Hartford, CT
NPI 1902834880 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1902834880
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 0046 (CT)
- Legal business name
- HARTFORD HOSPITAL
- Practice address
- 80 Seymour St
Hartford, CT 06102-8000 - Phone
- (860) 696-6010
- Fax
- (860) 696-6190
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Gerald Boisvert
- Title
- VP, Cfo
- Phone
- (860) 545-0585
Owners & managing parties with NPI records 1
-
Matthew Saidel, MD
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 2
Facilities with the same owner 17
Practitioners 1,308
-
Lincoln F Abbott, MD
-
Amelia Kay Ahern, PA-C
-
Lindsay Alger, PA-C
-
Betsy Alvarado, PA
-
Sarah Lisette Amenta, APRN-BC
-
Hardik P Amin, M.D.
-
Syed Daniyal Asad, M.D.
-
Daniel James Barone, LCSW
-
David Martin Bass, M.D.
-
Teresa Angela Bellmund, APRN
-
Jason Bitterman, MD
-
Jennifer Blum, APRN
-
Jesse M. Boillat, PA-C
-
Margo Ann Bojko, LCSW
-
Gregory S. Bonaiuto, M.D.
-
John Bonetti, D.O.
-
Nikia Bray, NP-C
-
Erin T Brooks, MD
-
Lauren Nicole Brush, PHD
-
Kelly E Cafferty, PA-C
-
Thomas A Callis, PA-C
Affiliated clinicians 2,344
-
Khalid M Abbed, MD
-
Kathleen M Abbott, M.D.
-
Lincoln F Abbott, MD
-
Jill R Aboulian, PA-C
-
Joseph E Abreu, MD
-
Sarah Ann Adams, PA-C
-
Swetha Ade, M.D.
-
Olurotimi Olusegun Adekolu, M.B.CH.B
-
Charles J Adelmann, M.D.
-
Santosh Adhikari, MD
-
Eleanor Adzamli-Wefum, PA-C
-
Joseph Aferzon, M.D.
-
Hassaan Bin Aftab, M.D.
-
Arun Agarwal, M.D.
-
Neha Agrawal, MD
-
Amelia Kay Ahern, PA-C
-
Fahad Ahmed, MD
-
Zain Ahmed, M.D.
-
Richard B Ahrens Jr., PA-C
-
Elizabeth Aitcheson, M.D.
-
Yasser A Al-Baghdadi, M.D.
Medicare Care Compare: Hospital
- Listed as
- Hartford Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Hartford Hospital Inpatient Rehab Facility
- Ownership
- Non-profit
- Certified
- Oct 1, 2018
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CT
Hospital certification: CCN 070025
- Legal name
- HARTFORD HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jul 22, 2015
- Beds
- 819
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 1, 1854 in CT
- Enrollment address
- 80 Seymour St
Hartford, CT 61028000 - Hospital subgroups
- General, Rehabilitation unit
Hospital certification: CCN 07T025
- Legal name
- HARTFORD HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 1, 1854 in CT
- Enrollment address
- 80 Seymour St
6TH Floor, Conklin Building
Hartford, CT 61028000 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Gerald Boisvert |
Corporate Officer | Apr 1, 2013 | |
| Corporate Director |
Apr 1, 2013 | ||
| Corporate Officer |
Oct 23, 2013 | ||
| W-2 Managing Employee |
Oct 23, 2013 | ||
| Operational/Managerial Control |
Oct 23, 2013 | ||
| Eric Zachs |
Corporate Director |
Jul 1, 2015 | |
| Sean M Curtin |
Corporate Officer | Aug 1, 2022 | |
| Corporate Director |
Aug 1, 2022 | ||
| Bimal Patel |
Corporate Officer |
Oct 1, 2017 | |
| Operational/Managerial Control |
Oct 1, 2017 | ||
| Matthew L Saidel |
Corporate Director |
Jul 1, 2015 | |
| Arnold Case |
Corporate Director |
Feb 1, 2021 | |
| Brian Maclean |
Corporate Director |
Feb 1, 2021 | |
| Alexia Cruz |
Corporate Director |
Jul 1, 2016 | |
| Samuel S. Gray |
Corporate Director |
Jan 1, 2020 | |
| Hartford Healthcare Corporation |
5% Or Greater Direct Ownership Interest | Dec 17, 1996 | 100% |
| Operational/Managerial Control | Jan 1, 2008 | ||
| E Carol Polifroni |
Corporate Director |
Jul 1, 2015 | |
| Christine Erikson |
Corporate Officer | Feb 17, 2020 | |
| Corporate Director |
Feb 17, 2020 | ||
| Dariush Owlia |
Corporate Director |
Jul 1, 2015 | |
| Elease Wright |
Corporate Director |
Feb 1, 2021 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hartford Hospital |
Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000752 | CT | Part B Supplier - Clinic/Group Practice | 2567366016 |
Receives reassigned benefits from 1,348 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20071219000088 | CT | Part a Provider - Hospital | 2567366016 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
| O20180726001184 | CT | Part a Provider - Hospital | 2567366016 | Practice locations: Hartford, CT |
National Provider Directory
Locations
80 Seymour St
Ste 511A
Hartford, CT 06106
200 Retreat Ave
Bldg 1
Hartford, CT 06106
65 Memorial Rd
Ste 500
West Hartford, CT 06107
Phone (860) 432-2100
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | |||
| General Acute Care Hospital | 282N00000X | 0046 | CT | Yes |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06102-8000
Mailing address
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 696-6010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001352 | Other | CT | US HEALTHCARE |
| 059672 | Other | CT | VALUE OPTIONS |
| 900006 | Other | CT | CTCARE |
| H01316 | Other | CT | OXFORD |
| 004041869 | Medicaid | CT | |
| 038157400 | Other | CT | FEDERAL BLACK LUNG PROGRA |
| 05B | Other | CT | ANTHEM BLUE CROSS MH |
| IS10001 | Other | CT | HEALTH NET |
| 0006170150 | Other | CT | AETNA |
| 004064366 | Medicaid | CT | |
| 004025151 | Medicaid | CT | |
| 005 | Other | CT | ANTHEM BLUE CROSS |
| 0319896 | Other | CT | UNITED HEALTHCARE |
| 4010864 | Medicaid | CT | |
| C001897 | Other | CT | TRICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Hartford, CT
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- Hartford Neurology, LLC
- Hartford Ophthalmology Associates, Inc
All providers in Hartford, CT · General Acute Care Hospital in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.