Ayaz T Madraswalla, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

034327 Issued in CT

Practice address

391 Pomfret St
Putnam, CT 06260-1852

Phone

(860) 731-5522

NPI assigned

Aug 25, 2005

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Albany Medical College of Union University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mansfield Family Practice LLCGroup PAC ID 2961433594, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
• Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
• Mansfield Center for Nursing and Rehabilitation Nursing home, Storrs Mansfield, CT, CCN 075402

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ayaz.madraswalla@mfp.directbygreenway.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71598

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.

• Mansfield Family Practice LLC

  • Family Medicine Physician
  • Storrs, CT
  • NPI 1265546956
  Medicare reassignment Care Compare group NPD
• Community Health Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor, CT
  • NPI 1215979810
  Medicare reassignment NPD
• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hartford Healthcare at Home, Inc

  • Home Health Agency
  • Wethersfield, CT
  • NPI 1073529566
  Care Compare affiliation
• Mansfield Acquisition Operator LLC

  dba Mansfield Center for Health and Rehabilitation

  • Skilled Nursing Facility
  • Storrs, CT
  • NPI 1043048044

  Nursing home

  Care Compare affiliation
• Windham Community Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Willimantic, CT
  • NPI 1023191467
  Care Compare affiliation

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1902899859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATERSIDE XING STE 401",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951588",
            "telephone_number": "860-731-5522",
            "fax_number": "860-731-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601852",
            "telephone_number": "860-731-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Professional Park Rd.",
            "address_purpose": "LOCATION",
            "city": "Storrs",
            "state": "CT",
            "postal_code": "06268",
            "country_code": "US",
            "telephone_number": "860-487-0002 x106",
            "fax_number": "860-429-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRASWALLA",
        "first_name": "AYAZ",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "34327",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CT",
            "license": "034327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn
• Megan M Macdonald
• Sherry Macfarland
• Andrew Paul Mackenzie, M.D.
• Carol-Sue Macwilliams, LPCA
• Rosemary Ijeoma Maduka, MD
• Mary Magner, MD
• Alexander - Mahendran, M.D.,F.A.C.C.
• Ruslans Maidans, D.D.S.
• Morgan Ann Main

• Addiction Medicine (Family Medicine) Physician in Putnam, CT
• Providers in Putnam, CT by specialty
• Addiction Medicine (Family Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.

Verify at the official NPI Registry.