Individual provider Active NPI

Osama Kandalaft, MD

  • Internal Medicine Physician
  • Guilford, CT
National Provider Identifier
1063868065
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
063900 Issued in CT
Practice address
705 Boston Post Rd
Guilford, CT 06437-2732
Phone
(203) 350-3225
Fax
(800) 681-8104
NPI assigned
May 9, 2016
Last updated
Nov 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 063900 CT
Internal Medicine Physician 207R00000X 063900 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

705 Boston Post Rd
Guilford, CT 06437-2732

Mailing address

705 Boston Post Rd
Guilford, CT 06437-2732
Phone (203) 350-3225

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
I20190827002194 CT Practitioner - Hospitalist 6608160809 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063900CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jul 23, 2019 Accepting new patients
New Wave Medical Group PA Internal Medicine Current Accepting new patients
New Wave Medical Group PA CurrentSince May 22, 2022 Accepting new patients
Family Practice & Internal Medicine, LLC Internal Medicine CurrentSince Jun 20, 2022 Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients

Locations

2200 Whitney Ave
Ste 100
Hamden, CT 06518
Phone (203) 234-1993

20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741

20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734

52 Washington Ave
Ste 4
North Haven, CT 06473
Phone (203) 672-2800

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1063868065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372732",
            "telephone_number": "203-350-3225",
            "fax_number": "800-681-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372732",
            "telephone_number": "203-350-3225",
            "fax_number": "800-681-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDALAFT",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "063900",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "063900",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.