Individual provider Active NPI

Omprakash Bhaskara Pillai, M.D.

  • Infectious Disease Physician
  • Farmington, CT
National Provider Identifier
1023321148
Registry record updated Jul 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
035490 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-0001
Phone
(860) 627-2113
NPI assigned
Jul 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 035490 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

17 Derek LN
Windsor, CT 06095-1739
Phone (860) 683-0224

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
I20151216001136 CT Practitioner - Internal Medicine 9638470610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charter Oak Health Center, IncGroup PAC ID 3870401078, 37 clinicians

Practice addresses (Care Compare)

21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035490CTMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Oak Health Center, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Coffeyville Doctors Clinic P a Past Accepting new patients

Locations

21 Grand St
Hartford, CT 06106

Interoperability endpoints

  • Direct secure messaging: omprakash.pillai@cohc.eclinicaldirectplus.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279411200000",
    "number": "1023321148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DEREK LN",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951739",
            "telephone_number": "860-683-0224",
            "fax_number": "860-683-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-627-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAI",
        "first_name": "OMPRAKASH",
        "middle_name": "BHASKARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-18",
        "last_updated": "2010-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "035490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.