Individual provider Active NPI

Ganesh C Natarajan, M.D.

  • Pulmonary Disease Physician
  • Brookfield, CT
National Provider Identifier
1073506317
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
039487 Issued in CT
Practice address
940 Federal Rd
Brookfield, CT 06804-1144
Phone
(203) 740-2881
Fax
(203) 740-8653
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 039487 CT Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 039487 CT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 039487 CT

Addresses

Primary practice location

940 Federal Rd
Brookfield, CT 06804-1144

Mailing address

940 Federal Rd
Brookfield, CT 06804-1144
Phone (203) 740-2881

Other identifiers 1

IdentifierTypeStateIssuer
001394874MedicaidCT

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
I20040719001247 CT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 1557340890 Reassigns benefits to 2 organizations
Practice locations: Brookfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Old Route 7
Suite 1a
Brookfield, CT 06804-1714
Phone (203) 740-2881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039487CTMDSleep Medicine (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: ganesh.natarajan.1@11729.direct.athenahealth.com

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 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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1073506317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041144",
            "telephone_number": "203-740-2881",
            "fax_number": "203-740-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041144",
            "telephone_number": "203-740-2881",
            "fax_number": "203-740-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATARAJAN",
        "first_name": "GANESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "039487",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "039487",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CT",
            "license": "039487",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001394874",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.