Active NPI
Barry Howard Immerman, M.D.
- Anesthesiology Physician
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 035385
- Practice address
- 99 E River Dr
5TH Floor
East Hartford, CT 06108-3288 - Phone
- (860) 282-4022
- Fax
- (860) 289-0746
- NPI assigned
- Sep 9, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 035385 | CT | Primary |
Addresses
Primary practice location
99 E River Dr
5TH Floor
East Hartford, CT 06108-3288
Mailing address
99 E River Dr
5TH Floor
East Hartford, CT 06108-3288
Phone (860) 282-4022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001353854 | 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
- Anesthesiology
- Education
- State University of New York at Stony Brook, School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
65 Memorial Rd
Suite 500
West Hartford, CT 06107-4233
Phone (860) 586-8655
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
- Hartford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035385 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
Locations
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022
505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709
2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (860) 282-4128
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
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": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1972597508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E RIVER DR",
"address_2": "5TH FLOOR",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083288",
"telephone_number": "860-282-4022",
"fax_number": "860-289-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E RIVER DR",
"address_2": "5TH FLOOR",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083288",
"telephone_number": "860-282-4022",
"fax_number": "860-289-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMMERMAN",
"first_name": "BARRY",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "035385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001353854",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.