AMJAD PANICKAVEETTIL MOHAMED BASHEER (MBBS) – Cardiovascular Disease Physician, NPI 1255994901
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CT
Provider Addresses for AMJAD PANICKAVEETTIL MOHAMED BASHEER (MBBS)
UConn Health - General Medicine Clinic
263 Farmington Ave, OP 2 East
Farmington, CT 060308021
Phone: (860) 679-4477
Fax: (860) 679-1025
Type: Location
UCONN HEALTH - GENERAL MEDICINE CLINIC
263 FARMINGTON AVE, OP 2 EAST
FARMINGTON, CT 060308021
Phone: (860) 679-4477
Fax: (860) 679-1025
Type: Location
UCONN GRADUATE MEDICAL EDUCATION
263 FARMINGTON AVENUE LM068
FARMINGTON, CT 060301921
Phone: (860) 879-4763
Fax: (860) 879-4624
Type: Mailing
4520 W 69TH ST
SIOUX FALLS, SD 571088148
Phone: (605) 977-5000
Fax: (605) 977-5377
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $1,182.
Total Amount is formed as General ($1,182) + Research ($0) + Ownership ($0) = $1,182.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Medtronic, Inc. ($912).
Total Amount
$1,182
General + Research + Ownership
Payments
5
Total payment records
General Amount
$1,182
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $912 |
| Abbott Laboratories | $270 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250805002458 | I | Cardiovascular Disease (Cardiology) | IA | TBD |
| I20250813001151 | I | Cardiovascular Disease (Cardiology) | MN | TBD |
| I20250815003031 | I | Cardiovascular Disease (Cardiology) | SD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine, Internal Medicine | SD | |
| Physician Assistant | SD | |
| Cardiac Surgery, Thoracic Surgery, Vascular Surgery | SD | |
| Nurse Practitioner | SD | |
| - | SD | |
| Cardiovascular Disease (Cardiology) | SD | |
| Interventional Cardiology | SD | |
| Interventional Cardiology | SD | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | SD | |
| Cardiovascular Disease (Cardiology) | SD |
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