Individual provider Active NPI

Mouhanad Ayach, M.D.

  • Family Medicine Physician
  • Hartford, CT
National Provider Identifier
1952563736
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237270 Issued in MA
Practice address
85 Seymour St Ste 409
Hartford, CT 06106-5523
Phone
(605) 224-1588
NPI assigned
Jul 2, 2008
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237270 MA Primary
Vascular Surgery Physician 2086S0129X 64226 CT

Addresses

Primary practice location

85 Seymour St Ste 409
Hartford, CT 06106-5523

Mailing address

85 Seymour St Ste 409
Hartford, CT 06106-5523
Phone (860) 522-4158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191022001580 CT Practitioner - Vascular SurgeryPractitioner - General Surgery 1557505773 Reassigns benefits to 2 organizations
I20191105001883 MA Practitioner - General Surgery 1557505773
I20240301000952 NH Practitioner - Vascular SurgeryPractitioner - General Surgery 1557505773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900

85 Seymour St
Suite 409
Hartford, CT 06106-5523
Phone (860) 522-4158

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237270MAMDFamily Medicine Physician
64226CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Vascular Surgery CurrentSince Oct 1, 2019 Accepting new patients
Elliot Professional Services CurrentSince Jan 23, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

85 Seymour St
Ste 409
Hartford, CT 06106
Phone (860) 522-4158

201 N Mountain Rd
Plainville, CT 06062
Phone (860) 224-5416

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900

Interoperability endpoints

  • Direct secure messaging: mouhanad.ayach@xdr.hhchealthdirect.org

Organizations & group practices 4

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 5

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1952563736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 409",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065523",
            "telephone_number": "860-522-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 409",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065523",
            "telephone_number": "605-224-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYACH",
        "first_name": "MOUHANAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "237270",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "64226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.