PEDIATRIC & ADOLESCENT MEDICINE – Internal Medicine Physician, NPI 1265472583

PEDIATRIC & ADOLESCENT MEDICINE is a healthcare provider. based in East hartford, Connecticut. specializing in Internal Medicine Physician. The NPI Number for PEDIATRIC & ADOLESCENT MEDICINE is 1265472583

Main info

Organization
Name
PEDIATRIC & ADOLESCENT MEDICINE
NPI
1265472583
Phone
(860) 282-7128
Address
580 BURNSIDE AVE
Authorized Official
SHAHEEN AHMED OWNER
Enumeration Date
7 June 2006
Last Update Date
16 December 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for PEDIATRIC & ADOLESCENT MEDICINE

  • 580, Burnside Avenue, Burnside, East Hartford, Hartford County, Connecticut, 06108, United States

    SUITE 3

    EAST HARTFORD, CT 061083579

    Phone: (860) 282-7128

    Fax: (860) 646-1261

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 06108)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for PEDIATRIC & ADOLESCENT MEDICINE?
PEDIATRIC & ADOLESCENT MEDICINE — NPI 1265472583 — is the standard way to identify this listing.
Does the file indicate PEDIATRIC & ADOLESCENT MEDICINE is practicing under active NPI?
Directory data currently reports PEDIATRIC & ADOLESCENT MEDICINE as active.
What is PEDIATRIC & ADOLESCENT MEDICINE best known for clinically?
Directory data describes PEDIATRIC & ADOLESCENT MEDICINE with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does PEDIATRIC & ADOLESCENT MEDICINE serve?
PEDIATRIC & ADOLESCENT MEDICINE's listing highlights East Hartford, Connecticut; more addresses can appear in NPPES.
Is the information about PEDIATRIC & ADOLESCENT MEDICINE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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