Individual provider Active NPI

Tarannum Malwat

  • Family Nurse Practitioner
  • Rocky Hill, CT
National Provider Identifier
1982192209
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7488 Issued in CT
Practice address
396 Cromwell Ave
Rocky Hill, CT 06067
Phone
(860) 372-4990
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7488 CT Primary

Addresses

Primary practice location

396 Cromwell Ave
Rocky Hill, CT 06067

Mailing address

39 Buckland St Apt 1112-4
Manchester, CT 06042-7721

Other practice location 1

2131 N Lovington Dr Apt 206
Troy, MI 48083-4395
Phone (248) 688-6119

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008000488 CT Practitioner - Nurse Practitioner 5698027357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
62.23
Improvement activities
40
Cost
81.29

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince Jul 15, 2022 Accepting new patients
Afc Physicians of Connecticut, PC Current Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Aug 1, 2020 Accepting new patients
State of Connecticut CurrentSince Oct 9, 2023 Accepting new patients
State of Connecticut Current Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jul 15, 2022 Accepting new patients
State of Connecticut CurrentSince Oct 9, 2023 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

396 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 249-1570

365 Queen St
Southington, CT 06489
Phone (855) 349-2828

365 Queen St
Ste 4
Southington, CT 06489
Phone (860) 863-5385

Interoperability endpoints

  • Direct secure messaging: tarannum.malwat@xdr.hhchealthdirect.org
  • Direct secure messaging: tmalwat75046@direct.med.uchc.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1982192209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BUCKLAND ST APT 1112-4",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060427721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CROMWELL AVE",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-372-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 N Lovington Dr Apt 206",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480834395",
            "country_code": "US",
            "telephone_number": "248-688-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALWAT",
        "first_name": "TARANNUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.