Individual provider Active NPI

Lalarukh Mufti, M.D.

  • Internal Medicine Physician
  • Avon, CT
National Provider Identifier
1942352794
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039382 Issued in CT
Practice address
40 Dale Rd
Suite 103
Avon, CT 06001-3692
Phone
(860) 673-3737
Fax
(860) 675-0640
NPI assigned
Jan 18, 2007
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 039382 CT
Internal Medicine Physician 207R00000X 039382 CT Primary

Addresses

Primary practice location

40 Dale Rd
Suite 103
Avon, CT 06001-3692

Mailing address

40 Dale Rd Ste 103
Avon, CT 06001-3692
Phone (860) 673-3737

Other practice location 1

836 Hopmeadow St
Simsbury, CT 06070-1875
Phone (860) 651-3519

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmufti100611@direct.med.uchc.edu 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
I20110720000187 CT Practitioner - Internal MedicinePractitioner - General Practice 1557539632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

40 Dale Rd
Suite 103
Avon, CT 06001-3692
Phone (860) 673-3737

836 Hopmeadow St
Simsbury, CT 06070-1875
Phone (860) 651-3519

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039382CTMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Group, LLC CurrentSince Oct 23, 2011 Accepting new patients

Locations

40 Dale Rd
Ste 103
Avon, CT 06001
Phone (860) 595-3130

Organizations & group practices 2

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 6

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1942352794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DALE RD STE 103",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013692",
            "telephone_number": "860-673-3737",
            "fax_number": "860-675-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DALE RD",
            "address_2": "SUITE 103",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013692",
            "telephone_number": "860-673-3737",
            "fax_number": "860-675-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 Hopmeadow St",
            "address_purpose": "LOCATION",
            "city": "Simsbury",
            "state": "CT",
            "postal_code": "060701875",
            "country_code": "US",
            "telephone_number": "860-651-3519",
            "fax_number": "860-651-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUFTI",
        "first_name": "LALARUKH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CT",
            "license": "039382",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmufti100611@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "836 Hopmeadow St",
            "city": "Simsbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060701875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.