AYAZ T MADRASWALLA MD
NPI 1902899859
Family Medicine - Addiction Medicine in Putnam, CT

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment
391 POMFRET ST, PUTNAM, CT 06260(860) 731-5522 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ayaz T Madraswalla Md NPPES

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

AYAZ T MADRASWALLA MD (NPI 1902899859) is an individual addiction medicine provider in Putnam, Connecticut, licensed in Connecticut (034327) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Storrs, and is a graduate of Albany Medical College Of Union University (1990).

NPPES Registry Identity

NPI1902899859
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameAYAZ T MADRASWALLACredential: MD
Location Address391 POMFRET STPutnam, CT 06260-1852
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5522
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1990
Enumeration DateAugust 25, 2005
Last NPPES UpdateJanuary 22, 2020
✔ NPI 1902899859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CT · 034327
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 34327 (CT)
391 POMFRET ST, Putnam, CT 06260

Secondary Practice Location 1

Location 134 Professional Park Rd.Storrs, CT 06268 · Phone (860) 487-0002 ext. 106 · Fax (860) 429-1663

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ayaz T Madraswalla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092846121
PECOS Enrollment IDI20101110000003
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ayaz Madraswalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
189 STORRS ROAD
Mansfield Center, CT 06250
  • Reassigned Medicare billing, Connecticut enrollment
  • 200 clinicians in this Medicare group
Family Medicine
34 PROFESSIONAL PARK ROAD
Storrs, CT 06268
  • Reassigned Medicare billing, Connecticut enrollment
  • 7 clinicians in this Medicare group
Primary Care
153 HAZARD AVE
Enfield, CT 06082
  • Reassigned Medicare billing, Connecticut enrollment
  • 227 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services62 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
60 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
50 services50 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06260 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Counselor (Addiction (Substance Use Disorder))
391 POMFRET ST
PUTNAM, CT 06260
Licensed Practical Nurse
391 POMFRET ST
PUTNAM, CT 06260
Counselor
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260

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 Ayaz Madraswalla's NPI number?

The NPI number for Ayaz Madraswalla is 1902899859. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Ayaz Madraswalla located?

Ayaz Madraswalla practices at 391 Pomfret St, Putnam, CT 06260. The listed phone number is (860) 731-5522.

What is Ayaz Madraswalla's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Ayaz Madraswalla enrolled in Medicare?

Yes. Ayaz Madraswalla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ayaz Madraswalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayaz Madraswalla reassigns Medicare benefits to 3 organizations: Natchaug Hospital, Inc. (Mansfield Center, CT), Mansfield Family Practice LLC (Storrs, CT) and Community Health Resources, Inc. (Enfield, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ayaz Madraswalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayaz Madraswalla accept?

Health plans from Anthem Blue Cross and Blue Shield list Ayaz Madraswalla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ayaz Madraswalla was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.