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DR. HUSAM BAHGAT SHITIA M.D. NPI 1972604528


NPI Information

NPI: 1972604528
Provider Name: DR. HUSAM BAHGAT SHITIA, M.D.
Classification: Internal Medicine - 207RA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
430 HIGHLAND AVE
CHESHIRE, CT
ZIP 06410
Phone: (203) 271-3132
Get Directions

DR. Husam Bahgat Shitia, M.D. is an adolescent medicine internal medicine in Cheshire, CT with 42 years of experience. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Husam Bahgat Shitia, M.D. NPI is 1972604528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

430 HIGHLAND AVE
CHESHIRE, CT
ZIP 06410-562
Phone: (203) 271-3132
Fax: (203) 271-3940

The NPI 1972604528 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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0000XInternal MedicineAdolescent MedicineME 72340FLORIDANo
2207RA0000XInternal MedicineAdolescent Medicine034996CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010034996CT01OTHERCONNECTICUTANTHEM BLUE CROSS
2G29889MEDICARE UPINCONNECTICUT
3619002OTHERCONNECTICUTAETNA
40V0544OTHERCONNECTICUTHEALTHNET
5G29889OTHERCONNECTICUTUNITED HEALTH CARE
6C00437MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
7110134996CT01OTHERCONNECTICUTRAIL ROAD MEDICARE
8718079OTHERCONNECTICUTCONNECTICARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.