Individual provider Active NPI

Eric Shore, MD

  • Pulmonary Disease Physician
  • Hartford, CT
National Provider Identifier
1932203494
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
025532 Issued in CT
Practice address
85 Seymour Street
Suite 923
Hartford, CT 06106
Phone
(860) 547-1876
Fax
(860) 520-1379
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 025532 CT Primary

Addresses

Primary practice location

85 Seymour Street
Suite 923
Hartford, CT 06106

Mailing address

P.O. Box 587
Rocky Hill, CT 06067-0587
Phone (860) 258-3480

Other identifiers 1

IdentifierTypeStateIssuer
00125532200MedicaidCT

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
I20031212000437 CT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3971409558 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Perelman School of Med at the University of Pennsylvania, 1977
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

533 Cottage Grove Rd
Bloomfield, CT 06002-3155
Phone (860) 258-3480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025532CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Oct 29, 2018 Accepting new patients
Hartford Hospital CurrentSince Oct 29, 2018 Accepting new patients
Starling Physicians, PLLC Pulmonary Disease CurrentSince Jul 1, 1996 Accepting new patients
Starling Physicians PLLC CurrentSince Jul 1, 1996 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

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

100 Simsbury Rd
Ste 206
Avon, CT 06001
Phone (860) 676-4820

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820

85 Seymour St
Ste 923
Hartford, CT 06106
Phone (860) 524-4550

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

2110 Silas Deane Hwy
Rocky Hill, CT 06067

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

1260 Silas Deane Hwy
Ste 107
Wethersfield, CT 06109
Phone (860) 258-3474

Interoperability endpoints

  • Direct secure messaging: eric.shore@xdr.hhchealthdirect.org

Organizations & group practices 6

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 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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1932203494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 587",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060670587",
            "telephone_number": "860-258-3480",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR STREET",
            "address_2": "SUITE 923",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-547-1876",
            "fax_number": "860-520-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "025532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125532200",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.