Individual provider Active NPI

Bechara Barrak, MD

  • Internal Medicine Physician
  • Bloomfield, CT
National Provider Identifier
1912928177
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
032571 Issued in CT
Practice address
701 Cottage Grove Rd Ste D110
Bloomfield, CT 06002-3085
Phone
(860) 530-2014
NPI assigned
Jul 22, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 032571 CT Primary

Addresses

Primary practice location

701 Cottage Grove Rd Ste D110
Bloomfield, CT 06002-3085

Mailing address

1000 Asylum Ave
Suite 3218
Hartford, CT 06105-1770
Phone (860) 714-5415

Other identifiers 2

IdentifierTypeStateIssuer
010032571CT01OtherCTANTHEM BLUE SHIELD
001325712MedicaidCT

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bbarrak16856@direct.stfranciscare.org Direct
Direct Messaging Address bechara.barrak.1@27673.direct.athenahealth.com Direct

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
I20100511000143 CT Practitioner - Internal Medicine 1254469307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Medical Associates 2 PCGroup PAC ID 3779486345, 43 clinicians

Practice addresses (Care Compare)

21 Woodland St
Suite 311
Hartford, CT 06105-4318
Phone (860) 527-6745

701 Cottage Grove Rd
Suite D110
Bloomfield, CT 06002-3085
Phone (860) 714-5415

95 Woodland St
FL 1
Hartford, CT 06105-1230
Phone (860) 714-7362

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032571CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. Current Accepting new patients
Collins Medical Associates 2 PC Internal Medicine CurrentSince Jun 1, 1999 Accepting new patients
Collins Medical Associates 2 PC Internal Medicine CurrentSince Jun 1, 1999 Accepting new patients
Intercommunity, Inc. CurrentSince Oct 20, 2016 Accepting new patients
Johnson Professional Associates, PC Internal Medicine Past Accepting new patients

Locations

699A Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-0034

701 Cottage Grove Rd
Ste D110
Bloomfield, CT 06002
Phone (860) 522-1101

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

1000 Asylum Ave
Ste 3218
Hartford, CT 06105
Phone (860) 714-5415

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

Interoperability endpoints

  • Direct secure messaging: bechara.barrak.1@27673.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27673/brand/1/csg/1/fhir/r4

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 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1912928177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3218",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-5415",
            "fax_number": "860-714-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE D110",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023085",
            "telephone_number": "860-530-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAK",
        "first_name": "BECHARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "010032571CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001325712",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbarrak16856@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Saint Francis Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "701 Cottage Grove Rd Ste D110",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060023085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bechara.barrak.1@27673.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "701 Cottage Grove Rd Ste D110",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060023085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.