Individual provider Active NPI

Sargis Ohanyan, MD

  • Interventional Pain Medicine Physician
  • Hamden, CT
National Provider Identifier
1043748031
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
73515 Issued in CT
Practice address
2880 Old Dixwell Ave Ste 201
Hamden, CT 06518-3144
Phone
(617) 686-7960
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 73515 CT Primary

Addresses

Primary practice location

2880 Old Dixwell Ave Ste 201
Hamden, CT 06518-3144

Mailing address

10 Cedar St
Branford, CT 06405-3604
Phone (617) 686-7960

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 609-6819

Other practice location 2

20 York St.
Yale New-Haven Hospital, Dept. of Anesthesiology
New Haven, CT 06510-3220
Phone (203) 688-4242

Other identifiers 1

IdentifierTypeStateIssuer
3137087MedicaidNH

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
I20250522000065 CT Practitioner - Pain Management 7911278957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Vermont College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2880 Old Dixwell Ave
Suite 201
Hamden, CT 06518-3144
Phone (617) 686-7960

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain MD PLLC Interventional Pain Medicine CurrentSince Mar 10, 2025 Accepting new patients

Locations

2880 Old Dixwell Ave
Ste 201
Hamden, CT 06518
Phone (203) 535-0206

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIIHDD/Endpoint/AIIHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIIHDD

Organizations & group practices 1

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1043748031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CEDAR ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053604",
            "telephone_number": "617-686-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE STE 201",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183144",
            "telephone_number": "617-686-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-609-6819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St.",
            "address_2": "Yale New-Haven Hospital, Dept. of Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OHANYAN",
        "first_name": "SARGIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "73515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3137087",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.