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KAMRAN KIZILBASH MD
NPI 1184315186
Psychiatry & Neurology - Child & Adolescent Psychiatry in Hartford, CT

Active since May 19, 2023PECOS Enrolled
409 MAPLE AVENUE-D2N, HARTFORD, CT 06106(860) 545-7062(860) 545-7920 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kamran Kizilbash Md NPPES

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

KAMRAN KIZILBASH MD (NPI 1184315186) is an individual child & adolescent psychiatry provider in Hartford, Connecticut, licensed in Connecticut (41695) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184315186
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameKAMRAN KIZILBASHCredential: MD
Location Address409 MAPLE AVENUE-D2NHartford, CT 06106
Mailing Address200 Retreat AveHartford, CT 06106-3309 · (860) 545-7062
Phone(860) 545-7062
Fax(860) 545-7920
Sole ProprietorYes
Enumeration DateMay 19, 2023
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1184315186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CT · 41695
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
409 MAPLE AVENUE-D2N, Hartford, CT 06106
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamran Kizilbash Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kamran Kizilbash's NPI number?

The NPI number for Kamran Kizilbash is 1184315186. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Kamran Kizilbash located?

Kamran Kizilbash practices at 409 Maple Avenue-D2n, Hartford, CT 06106. The listed phone number is (860) 545-7062.

What is Kamran Kizilbash's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kamran Kizilbash enrolled in Medicare?

Yes. Kamran Kizilbash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kamran Kizilbash was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.