Individual provider Active NPI

Shivayogi V Magavi, MD

  • Internal Medicine Physician
  • Danbury, CT
National Provider Identifier
1003847245
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
016783 Issued in CT
Practice address
57 North St
Suite 103
Danbury, CT 06810-5660
Phone
(203) 744-7007
NPI assigned
Jul 5, 2006
Last updated
Mar 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016783 CT Primary

Addresses

Primary practice location

57 North St
Suite 103
Danbury, CT 06810-5660

Mailing address

57 North St
Suite 103
Danbury, CT 06810-5660
Phone (203) 744-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115000247 CT Practitioner - Internal Medicine 9830384098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1966
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

120 Main St
Danbury, CT 06810-7834
Phone (203) 743-9760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016783CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc CurrentSince Feb 13, 2011 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Feb 13, 2011 Accepting new patients
DRS.S.V.Magavi & N.Magavi Internal Medicine PastSince Oct 10, 1986 Accepting new patients
Mauks Koepke Medical LLC Internal Medicine Past Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 743-9760

152 West St
Danbury, CT 06810
Phone (203) 791-5120

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

57 North St
Ste 311
Danbury, CT 06810
Phone 2037430100 ext. 362

70 Main St
Danbury, CT 06810
Phone (203) 739-8100

Interoperability endpoints

  • Direct secure messaging: shivayogi.magavi@gdchc.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1003847245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-744-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-744-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAVI",
        "first_name": "SHIVAYOGI",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "016783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.