NPIMap

Individual provider Active NPI

Karthik Gonuguntla, MD

  • Cardiovascular Disease Physician
  • Norwich, CT
National Provider Identifier
1073019667
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
76247 Issued in CT
Practice address
111 Salem Turnpike, Norwich, CT
Norwich, CT 06360
Phone
(224) 409-1723
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 76247 CT Primary

Addresses

Primary practice location

111 Salem Turnpike, Norwich, CT
Norwich, CT 06360

Mailing address

263 Farmington Ave
Farmington, CT 06030-1921
Phone (224) 409-1723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002153 CT Practitioner - Cardiovascular Disease (Cardiology) 0648528307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

111 Salem Tpke
Norwich, CT 06360-7403
Phone (860) 425-8700

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-7279

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

37 Kennedy Dr
Suite a
Putnam, CT 06260-1960
Phone (860) 963-7519

584 Norwich Rd
Plainfield, CT 06374-1727

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

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

111 Salem Tpke
Norwich, CT 06360
Phone (860) 425-5900

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

584 Norwich Rd
Ste 400
Plainfield, CT 06374
Phone (860) 455-3945

37 Kennedy Dr
Ste A
Putnam, CT 06260
Phone (860) 963-6328

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

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1073019667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301921",
            "telephone_number": "224-409-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SALEM TURNPIKE, NORWICH, CT",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "224-409-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONUGUNTLA",
        "first_name": "KARTHIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "76247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.