PEDIATRIC & ADOLESCENT MEDICINE
NPI 1265472583
Internal Medicine in East Hartford, CT

Active since June 07, 2006
580 BURNSIDE AVE, SUITE 3, EAST HARTFORD, CT 06108(860) 282-7128(860) 646-1261 Get Directions Write a Review

NPPES record last updated: December 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric & Adolescent Medicine NPPES

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

PEDIATRIC & ADOLESCENT MEDICINE (NPI 1265472583) is a healthcare organization registered as an internal medicine in East Hartford, Connecticut and active in the NPI registry since June 2006. The organization lists Shaheen Ahmed, Owner, as its authorized official.

NPPES Registry Identity

NPI1265472583
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePEDIATRIC & ADOLESCENT MEDICINE
Location Address580 BURNSIDE AVE, SUITE 3East Hartford, CT 06108-3579
Mailing Address580 Burnside Ave, Suite 3East Hartford, CT 06108-3579 · (860) 282-7128 · Fax (860) 646-1261
Fax(860) 646-1261
Organization SubpartNo
Authorized OfficialShaheen AhmedOwner · (860) 643-5218
Enumeration DateJune 7, 2006
Last NPPES UpdateDecember 16, 2014
NPI 1265472583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
580 BURNSIDE AVE, East Hartford, CT 06108

Other Identifiers 1

Medicaid004247252CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Dentist (General Practice)
580 BURNSIDE AVE, SUITE# 6
EAST HARTFORD, CT 06108
Pediatrics
580 BURNSIDE AVE, SUITE 4
EAST HARTFORD, CT 06108
Nurse Practitioner (Family)
580 BURNSIDE AVE
EAST HARTFORD, CT 06108
General Practice
580 BURNSIDE AVE, STE 2
EAST HARTFORD, CT 06108
Nurse Practitioner (Family)
580 BURNSIDE AVE, SUITE 4
EAST HARTFORD, CT 06108
Dentist (Pediatric Dentistry)
580 BURNSIDE AVE
EAST HARTFORD, CT 06108
Dentist (Pediatric Dentistry)
580 BURNSIDE AVE, SUITE 2
EAST HARTFORD, CT 06108
Obstetrics & Gynecology
580 BURNSIDE AVE, STE 4
EAST HARTFORD, CT 06108

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 Pediatric & Adolescent Medicine's NPI number?

The NPI number for Pediatric & Adolescent Medicine is 1265472583. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Pediatric & Adolescent Medicine located?

Pediatric & Adolescent Medicine is located at 580 Burnside Ave Suite 3, East Hartford, CT 06108. The listed phone number is (860) 282-7128.

What is Pediatric & Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Pediatric & Adolescent Medicine was last updated on December 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.