WEST HARTFORD MEDICAL CENTER
NPI 1942533039
Family Medicine in West Hartford, CT
About West Hartford Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST HARTFORD MEDICAL CENTER (NPI 1942533039) is a healthcare organization registered as a family medicine in West Hartford, Connecticut and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Angel C. Jaquez, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
West Hartford Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to West Hartford Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D2003039
West Hartford Medical Center · West Hartford, CTFrequently 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 West Hartford Medical Center's NPI number?
The NPI number for West Hartford Medical Center is 1942533039. It was assigned to this organization in the NPPES registry on September 8, 2009.
Where is West Hartford Medical Center located?
West Hartford Medical Center is located at 74 Park Rd Ste 4, West Hartford, CT 06119. The listed phone number is (860) 218-1725.
What is West Hartford Medical Center's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is West Hartford Medical Center enrolled in Medicare?
Yes. West Hartford Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through West Hartford Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to West Hartford Medical Center. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does West Hartford Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2003039) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does West Hartford Medical Center accept?
Health plans from Anthem Blue Cross and Blue Shield list West Hartford Medical Center 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 West Hartford Medical Center was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# West Hartford Medical Center · NPI 1942533039
Family Medicine organization in West Hartford, Connecticut. Organization record, active in the CMS NPPES registry since September 8, 2009.
## Identity
- **NPI:** 1942533039 (Entity type: Organization)
- **Enumerated:** September 8, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Angel Jaquez, DIRECTOR
## Practice location
- **Address:** 74 PARK RD STE 4, West Hartford, CT 06119-1898
- **Phone:** (860) 218-1725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2012
- **Other identifiers:** Medicaid 008022952 (CT); Medicare UPIN D100015554 (CT); Medicaid 6464646 (CT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942533039) · Data from the CMS NPPES public registry.