Individual provider Active NPI

Kumar Dharmarajan, MD, MBA

  • Cardiovascular Disease Physician
  • New Haven, CT
National Provider Identifier
1083741441
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
52900 Issued in CT
Practice address
1 Church St
Suite 200
New Haven, CT 06510-3330
Phone
(917) 952-5162
Fax
(203) 764-5653
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 257697 NY
Cardiovascular Disease Physician 207RC0000X 52900 CT Primary

Addresses

Primary practice location

1 Church St
Suite 200
New Haven, CT 06510-3330

Mailing address

1 Church St
Suite 200
New Haven, CT 06510-3330
Phone (917) 952-5162

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
I20140729002394 CT Practitioner - Cardiovascular Disease (Cardiology) 6709002652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257697NYMDInternal Medicine Physician
52900CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 1, 2014 Accepting new patients
Yale University Internal Medicine Current Accepting new patients
Yale University CurrentSince Jul 1, 2014 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

Organizations & group practices 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1083741441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHURCH ST",
            "address_2": "SUITE 200",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103330",
            "telephone_number": "917-952-5162",
            "fax_number": "203-764-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHURCH ST",
            "address_2": "SUITE 200",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103330",
            "telephone_number": "917-952-5162",
            "fax_number": "203-764-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARMARAJAN",
        "first_name": "KUMAR",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257697",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "52900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.