Individual provider Active NPI

Zaffar Kamal Haque, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Bridgeport, CT
National Provider Identifier
1912059502
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
69116 Issued in CT
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(475) 210-5242
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240057 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 69116 CT Primary

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 972-9033

Other practice location 1

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 359-6656

Other practice location 2

119 Belmont St
Hospital Medicine
Worcester, MA 01605-2903
Phone (508) 334-8515

Other identifiers 1

IdentifierTypeStateIssuer
110082802AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zhaque154352@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180130001216 PA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9830236124 Reassigns benefits to 3 organizations
I20210913001420 CT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9830236124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Professional Services IncGroup PAC ID 4284672742, 77 clinicians
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2582

1050 Bower Hill Rd
Suite 306
Pittsburgh, PA 15243-1870
Phone (412) 942-5620

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Professional Services Inc CurrentSince Dec 4, 2023 Accepting new patients
St Clair Medical Services Inc CurrentSince Aug 28, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Critical Care Medicine CurrentSince Feb 7, 2018 Accepting new patients
St. Clair Medical Services Inc. CurrentSince Aug 28, 2023 Accepting new patients
Allegheny Clinic CurrentSince Feb 7, 2018 Accepting new patients
St Clair Professional Services Inc CurrentSince Dec 4, 2023 Accepting new patients
St Clair Professional Services Inc Internal Medicine Current Accepting new patients
St Clair Medical Services, Inc. Internal Medicine Current Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
LGH Professional Services LLC Internal Medicine Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

99 Hawley Ln
Fl 3
Stratford, CT 06614
Phone (203) 502-4650

2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

1050 Bower Hill Rd
Ste 306
Pittsburgh, PA 15243
Phone (412) 572-6168

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Interoperability endpoints

  • Direct secure messaging: zhaque154352@direct.ahn.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1912059502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-9033",
            "fax_number": "412-359-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "475-210-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2570 Haymaker Rd",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463513",
            "country_code": "US",
            "telephone_number": "412-359-6656",
            "fax_number": "412-359-6653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Belmont St",
            "address_2": "Hospital Medicine",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "508-334-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "ZAFFAR",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "240057",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "69116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110082802A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zhaque154352@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2570 Haymaker Rd",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.