AYAZ T. MADRASWALLA MD – NPI #1902899859
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

AYAZ MADRASWALLA is a physician located in PUTNAM, CT. NPPES has assigned the NPI number 1902899859 to AYAZ MADRASWALLA on August 25, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 6 years ago on Jan 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AYAZ MADRASWALLA below.

NPI Profile for
AYAZ T. MADRASWALLA

NPI Number
1902899859
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AYAZ T. MADRASWALLA
Credentials
MD
Primary location
391 POMFRET ST
PUTNAM, CT 06260-1852
Phone: (860) 731-5522 Fax:
1 Other location(s):
34 Professional Park Rd.
Storrs, CT 06268
Phone: (860) 487-0002 Ext: 106
Fax: (860) 429-1663
Mailing address
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone: (860) 731-5522 Fax: (860) 731-5522
Sole Proprietor
No
Updated
Certification Date
Jan 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)		 CT 034327
207Q00000X
- Family Medicine		 CT 34327

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY - Graduated 1990
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AYAZ MADRASWALLA is affiliated with the following medical group(s):
  • HOSPITAL
    • WINDHAM COMMUNITY MEMORIAL HOSPITAL
      112 MANSFIELD AVENUE
      WILLIMANTIC, CT 06226
  • HOME HEALTH AGENCY
    • HARTFORD HEALTHCARE AT HOME
      1 NORTHWESTERN DRIVE SUITE 101
      BLOOMFIELD, CT 06002
  • NURSING HOME
    • MANSFIELD CENTER FOR NURSING AND REHABILITATION
      100 WARREN CIRCLE
      MANSFIELD, CT 06268

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