Individual provider Active NPI

Nirmalamma S Magavi, MD

  • Internal Medicine Physician
  • Danbury, CT
National Provider Identifier
1023040615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
019364 Issued in CT
Practice address
57 North St
Suite 103
Danbury, CT 06810-5660
Phone
(203) 744-7007
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 019364 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
I20101115000387 CT Practitioner - Internal Medicine 7012102270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
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
019364CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS.S.V.Magavi & N.Magavi Internal Medicine Current Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Jul 20, 2015 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Jul 20, 2015 Accepting new patients
Mauks Koepke Medical LLC Internal Medicine Past Accepting new patients

Locations

7 Old Sherman Tpke
Ste 212
Danbury, CT 06810
Phone (203) 616-5234

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

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

132 Main St
Danbury, CT 06810
Phone (203) 794-1979

57 North St
#309311
Danbury, CT 06810
Phone (203) 794-0761

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: nirmalamma.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 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023040615",
    "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": "NIRMALAMMA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "019364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.