Individual provider Active NPI

Nataliia Dyatlova, MD

  • Nephrology Physician
  • Orange, CT
National Provider Identifier
1033672472
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
79004 Issued in CT
Practice address
235 Boston Post Rd Ste 202
Orange, CT 06477-3229
Phone
(203) 799-1252
Fax
(203) 799-3252
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 79004 CT Primary

Addresses

Primary practice location

235 Boston Post Rd Ste 202
Orange, CT 06477-3229

Mailing address

235 Boston Post Rd Ste 202
Orange, CT 06477-3229
Phone (203) 799-1252

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nataliia.dyatlova@xdr.hhchealthdirect.org Health Information Exchange (HIE)
Direct Messaging Address nataliia.dyatlova@xdr.hhchealthdirect.org Health Information Exchange (HIE)

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
I20241115002489 CT Practitioner - Nephrology 0840724621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians

Practice addresses (Care Compare)

510 Washington Ave
North Haven, CT 06473-1334
Phone (203) 239-1252

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC Internal Medicine CurrentSince Jan 6, 2025 Accepting new patients
HHC Physician Services, PLLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

322 E Main St
Ste 2E
Branford, CT 06405
Phone (203) 315-1252

501 Kings Hwy E
Ste 204
Fairfield, CT 06825
Phone (203) 281-7000

510 Washington Ave
North Haven, CT 06473
Phone (203) 234-7071

240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

Organizations & group practices 2

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 5

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": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1033672472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BOSTON POST RD STE 202",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773229",
            "telephone_number": "203-799-1252",
            "fax_number": "203-799-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BOSTON POST RD STE 202",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773229",
            "telephone_number": "203-799-1252",
            "fax_number": "203-799-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYATLOVA",
        "first_name": "NATALIIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "79004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nataliia.dyatlova@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "240 Indian River Rd Ste A5",
            "city": "Orange",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064773690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nataliia.dyatlova@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "235 Boston Post Rd Ste 202",
            "city": "Orange",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064773229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.