Individual provider Active NPI

Jeffrey J Mihalek, M.D.

  • Obstetrics & Gynecology Physician
  • Newington, CT
National Provider Identifier
1912906579
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
035025 Issued in CT
Practice address
375 Willard Ave
Grove Hill Medical Center
Newington, CT 06111-2300
Phone
(860) 666-5111
Fax
(860) 666-5153
NPI assigned
Jul 18, 2005
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 035025 CT Primary

Addresses

Primary practice location

375 Willard Ave
Grove Hill Medical Center
Newington, CT 06111-2300

Mailing address

300 Kensington Ave
Grove Hill Medical Center
New Britain, CT 06051-3916
Phone (860) 666-5111

Other identifiers 10

IdentifierTypeStateIssuer
001350256MedicaidCT
060121OtherCTHEALTH NET PROV ID
010035025CT02OtherCTBCBS N BCFP PROV ID
004196095MedicaidCT
1255448155OtherCTGHMC GRP NPI ID
550419OtherCTAETNA PROV ID
P369900OtherCTOXFORD PROV ID
350250OtherCTCONNECTICARE PROV ID
01035025OtherCTCIGNA PROV ID
134928OtherCTWELLCARE MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000248 CT Practitioner - Obstetrics/Gynecology 0749377885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

375 Willard Ave
Newington, CT 06111-2300
Phone (860) 258-3480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035025CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley Obstetrics & Gynecology CurrentSince Nov 22, 2009 Accepting new patients
Starling Physicians, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2016 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Nov 22, 2009 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

100 Retreat Ave
Ste 100
Hartford, CT 06106
Phone (860) 545-9050

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

2110 Silas Deane Hwy
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: jeffrey.mihalek@xdr.hhchealthdirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1912906579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENSINGTON AVE",
            "address_2": "GROVE HILL MEDICAL CENTER",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513916",
            "telephone_number": "860-666-5111",
            "fax_number": "860-666-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WILLARD AVE",
            "address_2": "GROVE HILL MEDICAL CENTER",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112300",
            "telephone_number": "860-666-5111",
            "fax_number": "860-666-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHALEK",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "035025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001350256",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET PROV ID",
            "identifier": "060121",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS N BCFP PROV ID",
            "identifier": "010035025CT02",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004196095",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMC GRP NPI ID",
            "identifier": "1255448155",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV ID",
            "identifier": "550419",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROV ID",
            "identifier": "P369900",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE PROV ID",
            "identifier": "350250",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV ID",
            "identifier": "01035025",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE",
            "identifier": "134928",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.