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DR. ALFRED HERZOG M.D.
NPI 1003915950
Psychiatry & Neurology - Psychiatry in Hartford, CT

Active since September 21, 2006Opted out of Medicare · through Jul 1, 2028
80 SEYMOUR STREET, HARTFORD HOSPITAL, HARTFORD, CT 06102(860) 545-3501 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Alfred Herzog M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALFRED HERZOG M.D. (NPI 1003915950) is an individual psychiatry provider in Hartford, Connecticut, licensed in Connecticut (015077) and active in the NPI registry since September 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003915950
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ALFRED HERZOGCredential: M.D.
Location Address80 SEYMOUR STREET, HARTFORD HOSPITALHartford, CT 06102
Mailing AddressPo Box 40,000 Dept 634, Hartford Hospital Professional ServicesHartford, CT 06151-0634 · (860) 545-7602
Phone(860) 545-3501
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateFebruary 22, 2008
✔ NPI 1003915950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CT · 015077
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
80 SEYMOUR STREET, Hartford, CT 06102
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Other Identifiers 1

Medicare UPIND02727CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Alfred Herzog M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY ANN RICE PA-C
Physician Assistant (Surgical)
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 972-4670
MARY R NOON RD
Dietitian, Registered
80 SEYMOUR STREET, HARTFORD HOSPITAL FOOD & NUTRITION SERVICES
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2604
DR. JASON ZAKKO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
80 SEYMOUR STREET, CARDIAC SURGERY
HARTFORD, CT 06102
Capitol Planning Region (860) 696-5520
NATALIA P. BUKSA PA-C
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5176
KATIE ANN COPPOLA PA
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0000
AVA DALANI GORNEAULT
Student in an Organized Health Care Education/Training Program
80 SEYMOUR STREET
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2700
JEFFREY A CANTIN PA-C
Physician Assistant
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2840
KAREN A SMITH APRN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
80 SEYMOUR STREET, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfred Herzog's NPI number?

The NPI number for Alfred Herzog is 1003915950. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Alfred Herzog located?

Alfred Herzog practices at 80 Seymour Street Hartford Hospital, Hartford, CT 06102. The listed phone number is (860) 545-3501.

What is Alfred Herzog's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Alfred Herzog enrolled in Medicare?

No. Alfred Herzog has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alfred Herzog was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.