Individual provider Active NPI

Lavanya Jitendranath, M.D.

  • Infectious Disease Physician
  • Hartford, CT
National Provider Identifier
1033164363
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
045367 Issued in CT
Practice address
80 Seymour Street
Hartford Hospital Dept of Medicine Infectious Diseases
Hartford, CT 06102-8000
Phone
(860) 358-6878
Fax
(860) 358-6412
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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 045367 CT Primary

Addresses

Primary practice location

80 Seymour Street
Hartford Hospital Dept of Medicine Infectious Diseases
Hartford, CT 06102-8000

Mailing address

80 S Main St
Middletown, CT 06457-3648
Phone (860) 358-6878

Other identifiers 2

IdentifierTypeStateIssuer
440000193OtherCTMEDICARE PROV #
001453670MedicaidCT

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
I20071217000564 CT Practitioner - Infectious DiseasePractitioner - Internal Medicine 0648216945 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045367CTMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Mar 1, 2020 Accepting new patients
Middlesex Hospital CurrentSince Jul 30, 2007 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Hartford Hospital CurrentSince Mar 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Infectious Disease CurrentSince Jan 12, 2025 Accepting new patients
Middlesex Hospital Infectious Disease CurrentSince Jul 30, 2007 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 12, 2025 Accepting new patients
Infectious Disease Group of North Jersey Infectious Disease PastSince Nov 24, 2019 Accepting new patients

Locations

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

80 S Main St
Middletown, CT 06457
Phone (860) 347-6939

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

12 Case St
Ste 313
Norwich, CT 06360
Phone (860) 204-9126

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • Direct secure messaging: lavanya.jitendranath@xdr.hhchealthdirect.org

Organizations & group practices 8

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.

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1033164363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-358-6878",
            "fax_number": "860-358-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL DEPT OF MEDICINE INFECTIOUS DISEASES",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-358-6878",
            "fax_number": "860-358-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JITENDRANATH",
        "first_name": "LAVANYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "045367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROV #",
            "identifier": "440000193",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001453670",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.