Active NPI 1366454795 Individual Practitioner Female Practitioner

Dr. Devika R Kasaraneni , MD

Internal Medicine • Glastonbury, CT

Professional Overview & Biography Verified Profile Summary

Dr. Devika Kasaraneni, MD is a registered healthcare professional specializing in Internal Medicine in Glastonbury, CT. Practice services are available at 379 NAUBUC AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood test, lipids (cholesterol and triglycerides), complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

379 Naubuc Ave

Glastonbury, CT 060331076

Telephone 8606523320

Fax 8606573116

Associated Practice Facility / Clinic

🏢 Smiles For The Future, Llc Facility NPI 1548484561

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Glastonbury, CT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.1 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

25 Specialists

Practicing in Glastonbury, CT (2753 Statewide)

Telehealth Adoption Rate

24.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	128	$143.00	$97.42
80061 Blood test, lipids (cholesterol and triglycerides)	119	99	$66.00	$13.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	89	$210.00	$137.72
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	108	91	$27.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	108	96	$35.00	$10.29
84443 Blood test, thyroid stimulating hormone (TSH)	87	75	$55.00	$16.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$253.00	$141.24
36415 Insertion of needle into vein for collection of blood sample	73	62	$18.00	$8.54
82306 Vitamin d-3 level	63	61	$97.00	$29.01
83036 Hemoglobin A1C level	56	45	$35.00	$9.52
84439 Thyroxine (thyroid chemical), free	46	42	$30.00	$8.84
84450 Liver enzyme (sgot), level	23	22	$17.00	$5.08
84460 Liver enzyme (sgpt), level	23	22	$17.00	$5.19
81001 Manual urinalysis test with examination using microscope, automated	19	13	$11.00	$3.11
82570 Creatinine level to test for kidney function or muscle injury	19	15	$22.00	$5.08
G0008 Administration of influenza virus vaccine	19	18	$52.00	$33.90
90653 Vaccine for influenza for injection into muscle	18	18	$66.00	$64.68
80048 Blood test, basic group of blood chemicals (calcium, total)	17	14	$29.00	$8.29
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$323.00	$291.47
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	14	13	$65.00	$50.28
G0009 Administration of pneumococcal vaccine	14	14	$52.00	$33.90
82607 Cyanocobalamin (vitamin B-12) level	13	12	$50.00	$14.78
81002 Urinalysis, manual test	13	12	$12.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	146	$143.00	$96.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	127	$210.00	$136.98
80061 Blood test, lipids (cholesterol and triglycerides)	129	103	$66.00	$13.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	124	103	$27.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	118	109	$35.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	95	81	$55.00	$16.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$253.00	$138.99
84439 Thyroxine (thyroid chemical), free	76	66	$30.00	$8.84
82306 Vitamin d-3 level	72	68	$97.00	$29.01
36415 Insertion of needle into vein for collection of blood sample	69	49	$18.00	$8.40
83036 Hemoglobin A1C level	60	45	$35.00	$9.52
G0008 Administration of influenza virus vaccine	34	34	$52.00	$32.50
80048 Blood test, basic group of blood chemicals (calcium, total)	34	28	$29.00	$8.29
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	31	31	$100.00	$75.81
84460 Liver enzyme (sgpt), level	31	30	$17.00	$5.19
84450 Liver enzyme (sgot), level	31	30	$17.00	$5.08
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	24	24	$65.00	$50.28
71046 X-ray of chest, 2 views	20	19	$69.80	$37.25
82570 Creatinine level to test for kidney function or muscle injury	18	13	$22.00	$5.08
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$59.11	$15.64
82607 Cyanocobalamin (vitamin B-12) level	18	16	$50.00	$14.78
82043 Urine microalbumin (protein) level	18	13	$27.00	$5.66
81001 Manual urinalysis test with examination using microscope, automated	17	15	$11.00	$3.11
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$355.00	$42.18
91320 Sarscv2 vac 30mcg trs-suc im	11	11	$145.00	$128.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	150	$143.00	$97.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	148	$210.00	$138.43
80061 Blood test, lipids (cholesterol and triglycerides)	148	113	$66.00	$13.22
80053 Blood test, comprehensive group of blood chemicals	126	116	$35.00	$10.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	115	106	$27.00	$7.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$253.00	$141.36
84443 Blood test, thyroid stimulating hormone (TSH)	99	86	$55.00	$16.57
82306 Vitamin d-3 level	88	79	$97.00	$29.23
83036 Hemoglobin A1C level	80	59	$35.00	$9.59
84439 Thyroxine (thyroid chemical), free	77	66	$30.00	$8.90
36415 Insertion of needle into vein for collection of blood sample	74	52	$18.00	$2.97
84450 Liver enzyme (sgot), level	49	44	$17.00	$5.13
84460 Liver enzyme (sgpt), level	49	44	$17.00	$5.25
80048 Blood test, basic group of blood chemicals (calcium, total)	43	35	$29.00	$8.35
G0008 Administration of influenza virus vaccine	40	40	$51.00	$31.99
90662 Influenza vaccine split virus, preservative free	38	38	$67.00	$65.65
82607 Cyanocobalamin (vitamin B-12) level	25	18	$50.00	$14.87
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	24	23	$65.00	$50.75
82570 Creatinine level to test for kidney function or muscle injury	18	15	$22.00	$5.12
82043 Urine microalbumin (protein) level	18	15	$27.00	$5.71
87086 Bacterial colony count, urine	18	17	$27.00	$7.97
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$355.00	$40.57
86140 Measurement C-reactive protein for detection of infection or inflammation	14	13	$17.00	$5.12
71046 X-ray of chest, 2 views	13	12	$68.00	$37.82
85652 Red blood cell sedimentation rate, to detect inflammation, automated	13	12	$9.00	$2.67
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$56.00	$15.56
81001 Manual urinalysis test with examination using microscope, automated	12	12	$11.00	$3.13
81002 Urinalysis, manual test	11	11	$12.00	$3.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	149	$141.07	$99.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	148	$207.58	$141.34
80061 Blood test, lipids (cholesterol and triglycerides)	137	105	$66.00	$13.39
80053 Blood test, comprehensive group of blood chemicals	105	101	$35.00	$10.56
84443 Blood test, thyroid stimulating hormone (TSH)	101	86	$55.00	$16.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$253.00	$144.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	92	86	$27.00	$7.77
83036 Hemoglobin A1C level	83	62	$35.00	$9.71
82306 Vitamin d-3 level	82	74	$97.00	$29.60
84439 Thyroxine (thyroid chemical), free	69	63	$30.00	$9.02
84450 Liver enzyme (sgot), level	51	44	$17.00	$5.18
84460 Liver enzyme (sgpt), level	51	44	$17.00	$5.30
36415 Insertion of needle into vein for collection of blood sample	47	38	$18.00	$3.00
80048 Blood test, basic group of blood chemicals (calcium, total)	46	41	$29.00	$8.46
G0008 Administration of influenza virus vaccine	43	43	$51.00	$18.53
90662 Influenza vaccine split virus, preservative free	39	39	$67.00	$65.26
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$55.45	$16.21
82043 Urine microalbumin (protein) level	27	23	$27.00	$5.78
82570 Creatinine level to test for kidney function or muscle injury	27	23	$22.00	$5.18
87086 Bacterial colony count, urine	20	20	$27.00	$8.07
81001 Manual urinalysis test with examination using microscope, automated	20	18	$11.00	$3.17
77080 Dxa bone density measurement of hip, pelvis, spine	20	20	$355.00	$42.98
81002 Urinalysis, manual test	11	11	$12.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	111	$134.84	$81.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	91	$197.43	$119.29
80061 Blood test, lipids (cholesterol and triglycerides)	117	92	$63.54	$13.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$253.00	$127.55
80053 Blood test, comprehensive group of blood chemicals	82	78	$34.49	$10.52
84443 Blood test, thyroid stimulating hormone (TSH)	75	63	$54.76	$16.72
82306 Vitamin d-3 level	70	64	$97.00	$29.47
84439 Thyroxine (thyroid chemical), free	64	55	$29.75	$8.97
83036 Hemoglobin A1C level	57	45	$35.00	$9.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	57	54	$26.61	$7.74
84460 Liver enzyme (sgpt), level	46	40	$17.00	$5.20
84450 Liver enzyme (sgot), level	46	40	$17.00	$5.08
G0008 Administration of influenza virus vaccine	40	40	$50.00	$18.33
99442 Telephone medical discussion with physician, 11-20 minutes	40	36	$90.00	$82.39
90662 Influenza vaccine split virus, preservative free	37	37	$67.00	$60.98
80048 Blood test, basic group of blood chemicals (calcium, total)	34	31	$29.00	$8.43
99441 Telephone medical discussion with physician, 5-10 minutes	28	24	$60.00	$50.41
82607 Cyanocobalamin (vitamin B-12) level	16	13	$49.25	$14.97
82570 Creatinine level to test for kidney function or muscle injury	14	11	$22.00	$5.17
82043 Urine microalbumin (protein) level	14	11	$27.00	$5.76
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$54.85	$18.96
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$355.00	$44.50
87086 Bacterial colony count, urine	11	11	$26.73	$8.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	165	$181.00	$118.10
80061 Blood test, lipids (cholesterol and triglycerides)	145	102	$54.00	$14.58
99213 Established patient office or other outpatient visit, typically 15 minutes	140	116	$122.00	$80.85
80053 Blood test, comprehensive group of blood chemicals	103	92	$32.00	$11.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$253.00	$126.84
82306 Vitamin d-3 level	87	79	$97.00	$32.23
84443 Blood test, thyroid stimulating hormone (TSH)	87	75	$54.00	$18.30
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	81	65	$25.00	$8.46
84439 Thyroxine (thyroid chemical), free	81	70	$29.00	$9.82
83036 Hemoglobin A1C level	74	52	$35.00	$10.57
84450 Liver enzyme (sgot), level	55	50	$17.00	$5.63
84460 Liver enzyme (sgpt), level	55	50	$17.00	$5.77
G0008 Administration of influenza virus vaccine	48	45	$50.00	$17.96
80048 Blood test, basic group of blood chemicals (calcium, total)	40	35	$29.00	$9.21
90682 Influenza vaccine, quadrivalent derived from recombinant dna	37	36	$60.00	$54.47
87086 Bacterial colony count, urine	26	22	$26.00	$8.79
82043 Urine microalbumin (protein) level	26	17	$27.00	$6.29
82607 Cyanocobalamin (vitamin B-12) level	26	24	$48.00	$16.41
82570 Creatinine level to test for kidney function or muscle injury	25	17	$22.00	$5.63
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$54.00	$18.75
81001 Manual urinalysis test with examination using microscope, automated	21	15	$10.00	$3.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	16	$130.00	$58.09
81002 Urinalysis, manual test	18	16	$12.00	$3.41
71046 X-ray of chest, 2 views	15	12	$65.00	$35.01
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	14	12	$27.00	$9.42
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$25.00	$18.65
87088 Bacterial urine culture	14	12	$26.00	$8.81
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$346.85	$43.84
83540 Iron level	12	11	$21.00	$7.05
82947 Blood glucose (sugar) level	11	11	$12.00	$4.28
G0009 Administration of pneumococcal vaccine	11	11	$50.00	$17.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$376.00	$186.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	169	$181.00	$115.18
80061 Blood test, lipids (cholesterol and triglycerides)	177	117	$54.00	$16.20
99213 Established patient office or other outpatient visit, typically 15 minutes	153	118	$122.00	$78.27
80053 Blood test, comprehensive group of blood chemicals	108	96	$32.00	$12.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$253.00	$125.55
82306 Vitamin d-3 level	94	84	$97.00	$35.82
84443 Blood test, thyroid stimulating hormone (TSH)	91	72	$54.00	$20.33
84439 Thyroxine (thyroid chemical), free	84	65	$29.00	$10.91
83036 Hemoglobin A1C level	81	53	$35.00	$11.75
84460 Liver enzyme (sgpt), level	79	66	$17.00	$6.41
84450 Liver enzyme (sgot), level	78	66	$17.00	$6.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	72	63	$25.00	$9.40
G0008 Administration of influenza virus vaccine	45	44	$50.00	$22.26
80048 Blood test, basic group of blood chemicals (calcium, total)	43	39	$29.00	$10.23
82570 Creatinine level to test for kidney function or muscle injury	41	27	$22.00	$6.26
82043 Urine microalbumin (protein) level	41	27	$27.00	$7.00
90682 Influenza vaccine, quadrivalent derived from recombinant dna	30	30	$60.00	$52.30
81001 Manual urinalysis test with examination using microscope, automated	28	24	$10.00	$2.87
81002 Urinalysis, manual test	27	24	$12.00	$3.41
87086 Bacterial colony count, urine	26	23	$26.00	$9.76
93000 Routine ekg using at least 12 leads including interpretation and report	25	23	$54.00	$18.47
71046 X-ray of chest, 2 views	24	21	$64.21	$32.92
77080 Dxa bone density measurement of hip, pelvis, spine	24	24	$350.58	$45.70
82947 Blood glucose (sugar) level	20	17	$12.00	$4.75
82607 Cyanocobalamin (vitamin B-12) level	19	17	$48.00	$18.24
G0009 Administration of pneumococcal vaccine	16	16	$50.00	$22.26
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$25.00	$18.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$130.00	$57.97
90670 Pneumococcal vaccine for injection into muscle	13	13	$217.54	$196.31
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$39.00	$18.54
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$289.00	$178.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	285	183	$122.00	$78.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	166	$181.00	$115.27
80061 Blood test, lipids (cholesterol and triglycerides)	226	150	$54.00	$13.68
82306 Vitamin d-3 level	143	121	$97.00	$39.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$253.00	$124.34
84460 Liver enzyme (sgpt), level	122	101	$17.00	$3.67
84450 Liver enzyme (sgot), level	121	100	$17.00	$3.66
80053 Blood test, comprehensive group of blood chemicals	118	105	$32.00	$10.49
83036 Hemoglobin A1C level	101	68	$32.39	$13.05
84443 Blood test, thyroid stimulating hormone (TSH)	95	80	$54.00	$22.59
84439 Thyroxine (thyroid chemical), free	89	76	$29.00	$12.12
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	81	81	$25.00	$18.65
G0008 Administration of influenza virus vaccine	81	81	$50.00	$27.77
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	74	63	$25.00	$10.45
80048 Blood test, basic group of blood chemicals (calcium, total)	65	57	$29.00	$7.60
82043 Urine microalbumin (protein) level	52	36	$27.00	$7.77
82570 Creatinine level to test for kidney function or muscle injury	52	36	$22.00	$6.96
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$54.00	$18.42
82607 Cyanocobalamin (vitamin B-12) level	34	28	$48.00	$20.27
77080 Dxa bone density measurement of hip, pelvis, spine	31	31	$348.16	$44.30
81001 Manual urinalysis test with examination using microscope, automated	30	25	$10.00	$3.12
87086 Bacterial colony count, urine	30	24	$26.00	$10.85
81002 Urinalysis, manual test	29	26	$12.00	$3.43
G0009 Administration of pneumococcal vaccine	24	24	$50.00	$27.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	14	$130.00	$57.96
71020 X-ray of chest, 2 views, front and side	19	15	$60.00	$27.52
82947 Blood glucose (sugar) level	19	17	$12.00	$2.95
90670 Pneumococcal vaccine for injection into muscle	16	16	$210.00	$186.66
82728 Ferritin (blood protein) level	15	11	$44.00	$18.33
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	13	$413.00	$132.80
87088 Bacterial urine culture	13	13	$26.00	$10.88
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	13	13	$27.00	$11.62
82550 Creatine kinase (cardiac enzyme) level, total	13	11	$25.00	$5.54
85652 Red blood cell sedimentation rate, to detect inflammation, automated	11	11	$8.00	$3.63
86140 Measurement C-reactive protein for detection of infection or inflammation	11	11	$17.00	$6.96

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 032089

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Melissa Klaus , MD

Internal Medicine

NPI 1124136353

Doctor of Medicine (M.D.)

Dr. Charles Leach , MD

Internal Medicine

NPI 1720091788

Doctor of Medicine (M.D.)

Dr. James Ocampo , MD

Internal Medicine

NPI 1720221344

Doctor of Medicine (M.D.)

Dr. William Vacek , MD

Internal Medicine

NPI 1790797785

Doctor of Medicine (M.D.)

Katherine Voss , PA-C

Physician Assistant - Medical

NPI 1821129966

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 379 NAUBUC AVE, GLASTONBURY, CT 060331076 (Tel: 8606523320)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 060322573 (Tel: 8602845200)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DEVIKA KASARANENI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #032089 in CT)

🟢

Initial NPI Registration & Enumeration August 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366454795

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 13, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4 Farm Springs Rd, Prohealth Physicians

Farmington, CT 060322573

Phone: 8602845200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.