Individual provider Active NPI

Mary E Farwell, MD

  • Obstetrics & Gynecology Physician
  • Avon, CT
National Provider Identifier
1992896393
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
035456 Issued in CT
Practice address
20 West Avon Rd
Avon, CT 06001
Phone
(860) 673-4670
Fax
(860) 675-3422
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 035456 CT Primary

Addresses

Primary practice location

20 West Avon Rd
Avon, CT 06001

Mailing address

20 W Avon Rd
Avon, CT 06001
Phone (860) 673-4670

Other identifiers 1

IdentifierTypeStateIssuer
001354563MedicaidCT

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
I20040109000695 CT Practitioner - Obstetrics/Gynecology 4385544063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

20 W Avon Rd
201 Womens Comprehensive Health Care
Avon, CT 06001-3677
Phone (860) 673-4670

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035456CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital Obstetrics & Gynecology CurrentSince Jul 20, 2022 Accepting new patients
Hartford Hospital CurrentSince Jul 20, 2022 Accepting new patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Jan 22, 2000 Accepting new patients
Hartford Hospital CurrentSince Jul 20, 2022 Accepting new patients

Locations

20 W Avon Rd
Avon, CT 06001
Phone (860) 673-0451

20 W Avon Rd
Ste 201
Avon, CT 06001
Phone (860) 673-4670

3787 Main St
Bridgeport, CT 06606
Phone (203) 365-2660

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

1 Mill Ln
Farmington, CT 06032
Phone (860) 470-4560

330 Western Blvd
Ste 102
Glastonbury, CT 06033
Phone (860) 547-0306

100 Retreat Ave
Ste 805
Hartford, CT 06106
Phone (860) 866-5706

100 Retreat Ave
Ste 700
Hartford, CT 06106
Phone (860) 547-0306

Interoperability endpoints

  • Direct secure messaging: mary.farwell.1@10170.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1992896393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-673-4670",
            "fax_number": "860-673-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-673-4670",
            "fax_number": "860-675-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARWELL",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "035456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001354563",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.