DR. ABDELMONIM AFFANY (MD) – Psychiatry Physician, NPI 1407808645

DR. ABDELMONIM AFFANY (MD) is a healthcare provider. based in Avon, Connecticut. specializing in PSYCHIATRY, GERIATRIC PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 043447 (CT). The NPI Number for DR. ABDELMONIM AFFANY (MD) is 1407808645

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABDELMONIM AFFANY (MD)
NPI
1407808645
Phone
(860) 674-2691
Address
21 WATERVILLE RD
Enumeration Date
16 May 2006
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2094762000
Graduation Year
1997 (29 years ago)
PAC ID
0244268035
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20131231001101
Address ID
CA952103377ST7373XLANE300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

851 PSYCHIATRY in CT

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Provider Addresses for DR. ABDELMONIM AFFANY (MD)

  • 21, Waterville Road, Alsop Corner, Avon, Hartford County, Connecticut, 06001, United States

    AVON, CT 060012097

    Phone: (860) 674-2691

    Fax: (860) 677-6443

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131231001101IPsychiatryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 06001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What NPI should I save for DR. ABDELMONIM AFFANY (MD)?
Save NPI 1407808645 if you need a stable reference for DR. ABDELMONIM AFFANY (MD).
Is DR. ABDELMONIM AFFANY (MD) currently active in the NPI registry?
CMS-published data lists DR. ABDELMONIM AFFANY (MD) as an active registrant.
What kind of provider is DR. ABDELMONIM AFFANY (MD)?
The page reflects Psychiatry Physician for DR. ABDELMONIM AFFANY (MD). Clinical services aligned with this taxonomy classification.
Where is DR. ABDELMONIM AFFANY (MD)'s primary listing?
We display Avon, Connecticut because that is what the record indicates for DR. ABDELMONIM AFFANY (MD).
Is DR. ABDELMONIM AFFANY (MD) a real provider?
This page reflects official NPPES data for NPI 1407808645. Always confirm identity and privileges with the practice and licensing boards.

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