Individual provider Active NPI

Latha Chirunomula, MD

  • Internal Medicine Physician
  • West Haven, CT
National Provider Identifier
1104001692
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49780 Issued in CT
Practice address
764 Campbell Ave Ste E
West Haven, CT 06516-3786
Phone
(203) 931-0034
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49780 CT Primary

Addresses

Primary practice location

764 Campbell Ave Ste E
West Haven, CT 06516-3786

Mailing address

764 Campbell Ave Ste E
West Haven, CT 06516-3786
Phone (203) 931-0034

Other practice location 1

245 Amity Rd Ste 108
Woodbridge, CT 06525-2256
Phone (203) 397-2227

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
I20260303004042 CT Practitioner - Internal Medicine 7012185127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sevi Cares CT PLLCGroup PAC ID 2668837188, 4 clinicians
Internal Medicine of West Haven LLCGroup PAC ID 3476567892, 5 clinicians

Practice addresses (Care Compare)

6949 Main St
Trumbull, CT 06611-6304
Phone (475) 265-5589

764 Campbell Ave
Suite E
West Haven, CT 06516-3786
Phone (203) 931-0034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74043AZMDInternal Medicine Physician
49780CTMDInternal Medicine Physician
2025000166MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of West Haven LLC Internal Medicine CurrentSince Mar 19, 2026 Accepting new patients
Sevi Cares CT PLLC Internal Medicine CurrentSince Mar 19, 2026 Accepting new patients
Sevi Life LLC Internal Medicine PastSince May 1, 2024 Accepting new patients
Mid Atlantic Pemanente Medical Group Past Accepting new patients

Locations

40 Dale Rd
Ste 202
Avon, CT 06001
Phone (203) 931-0034

470 James St
New Haven, CT 06513
Phone (203) 401-8919

764 Campbell Ave
West Haven, CT 06516
Phone (203) 901-0424

764 Campbell Ave
Ste E
West Haven, CT 06516
Phone (203) 931-0034

245 Amity Rd
Ste 108
Woodbridge, CT 06525
Phone (203) 397-2227

Interoperability endpoints

  • Direct secure messaging: latha.chirunomula.1@31408.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDDAD

Organizations & group practices 4

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1104001692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE STE E",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-931-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE STE E",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-931-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Amity Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065252256",
            "country_code": "US",
            "telephone_number": "203-397-2227",
            "fax_number": "203-389-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIRUNOMULA",
        "first_name": "LATHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "49780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.