Individual provider Active NPI

Sepehr Sajjad, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • New London, CT
National Provider Identifier
1972772556
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
046819 Issued in CT
Practice address
59 Fair Harbour PL
New London, CT 06320-4739
Phone
(860) 442-4500
NPI assigned
Feb 27, 2008
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 046819 CT Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 046819 CT

Addresses

Primary practice location

59 Fair Harbour PL
New London, CT 06320-4739

Mailing address

59 Fair Harbour PL
New London, CT 06320-4739
Phone (860) 442-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090918000167 CT Practitioner - Hand SurgeryPractitioner - General Surgery 8921154865 Reassigns benefits to 1 organization
I20170123000526 RI Practitioner - Hand Surgery 8921154865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 Wells St
Suite 204
Westerly, RI 02891-2927
Phone (860) 442-4500

59 Fair Harbour PL
New London, CT 06320-4739
Phone (860) 442-4550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
88.82
Promoting interoperability
100
Improvement activities
40
Cost
72.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)62
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shaws Cove Orthopaedics, LLC Multi-Specialty PastSince Jun 18, 2018 Accepting new patients
Guilford Surgery Center LLC PastSince Mar 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ssajjad329944@direct.ynhh.org

Organizations & group practices 3

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 2

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1972772556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 FAIR HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204739",
            "telephone_number": "860-442-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 FAIR HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204739",
            "telephone_number": "860-442-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJAD",
        "first_name": "SEPEHR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CT",
            "license": "046819",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": "046819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.