Individual provider Active NPI

Wei An, M.D.

  • Allergy & Immunology Physician
  • West Hartford, CT
National Provider Identifier
1942576947
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
056435 Issued in CT
Practice address
836 Farmington Ave Ste 207
West Hartford, CT 06119-1544
Phone
(860) 232-9911
NPI assigned
Mar 24, 2012
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 056435 CT Primary
Internal Medicine Physician 207R00000X 056435 CT

Addresses

Primary practice location

836 Farmington Ave Ste 207
West Hartford, CT 06119-1544

Mailing address

836 Farmington Ave Ste 207
West Hartford, CT 06119-1544
Phone (860) 232-9911

Other practice location 1

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-0532

Other practice location 2

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5011

Other practice location 3

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wan33050@connecticutchildrens.direct-ci.com Connecticut Children's Specialty Group, Inc.

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
I20170628000476 CT Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7517236904 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Wisconsin School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Asthma and Allergy Center LLCGroup PAC ID 4082603543, 8 clinicians

Practice addresses (Care Compare)

836 Farmington Ave
Suite 207
West Hartford, CT 06119-1544
Phone (860) 232-9911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056435CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Dec 30, 2017 Accepting new patients
Midstate Medical Center CurrentSince Mar 5, 2018 Accepting new patients
Midstate Medical Center CurrentSince Mar 5, 2018 Accepting new patients
Connecticut Asthma & Allergy Center LLC CurrentSince Jul 1, 2017 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 30, 2017 Accepting new patients

Locations

40 Dale Rd
Ste 203
Avon, CT 06001
Phone (631) 974-8826

60 Hartland St
Fl 3
East Hartford, CT 06108

505 Farmington Ave
Farmington, CT 06032
Phone (860) 837-6700

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

100 Retreat Ave
Hartford, CT 06106
Phone (860) 244-0148

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

85 Seymour St
Ste 816
Hartford, CT 06106
Phone (860) 278-5773

945 Main St
Ste 308
Manchester, CT 06040
Phone (860) 232-9911

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

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

836 Farmington Ave
Ste 207
West Htfd, CT 06119
Phone (860) 232-9911

Interoperability endpoints

  • Direct secure messaging: w.an@xdr.hhchealthdirect.org
  • Direct secure messaging: wan33050@connecticutchildrens.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1942576947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE STE 207",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191544",
            "telephone_number": "860-232-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE STE 207",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191544",
            "telephone_number": "860-232-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-805-0532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Grand St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522016",
            "country_code": "US",
            "telephone_number": "860-224-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-545-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AN",
        "first_name": "WEI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-24",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "056435",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "056435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wan33050@connecticutchildrens.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Connecticut Children's Specialty Group, Inc.",
            "address_1": "282 Washington St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061063322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.