AYAZ T MADRASWALLA MD NPI 1902899859

NPI Information

  • NPI: 1902899859
  • Provider Name: AYAZ T MADRASWALLA, MD
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 391 POMFRET ST
    PUTNAM, CT
    ZIP 06260
  • Phone: (860) 731-5522

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NPI Details

Ayaz T Madraswalla, MD is an addiction medicine family medicine in Putnam, CT with 36 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Ayaz T Madraswalla, MD NPI is 1902899859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1990

The provider's business location address is:

391 POMFRET ST
PUTNAM, CT
ZIP 06260-852
Phone: (860) 731-5522

The NPI 1902899859 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Evaluation of psychological test, first hour (HCPCS:96130)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 8/25/2005 and was last updated on 1/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine34327CONNECTICUTNo
2207QA0401XFamily MedicineAddiction Medicine034327CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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