Active NPI
Eric Shore, MD
- Pulmonary Disease Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 025532
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125532200 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Perelman School of Med at the University of Pennsylvania, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025532 | CT | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Starling Physicians, PLLC | Pulmonary Disease | Current | Accepting new patients |
| Starling Physicians PLLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
Pulmonary Disease
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
- Clinical Medical Laboratory
- New Britain, CT
- NPI 1437252806
-
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.