Active NPI
Latha Chirunomula, MD
- Internal Medicine Physician
- West Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 49780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCInternal Medicine of West Haven LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 74043 | AZ | MD | Internal Medicine Physician |
| 49780 | CT | MD | Internal Medicine Physician |
| 2025000166 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of West Haven LLC | Internal Medicine | Current | Accepting new patients |
| Sevi Cares CT PLLC | Internal Medicine | Current | Accepting new patients |
| Sevi Life LLC | Internal Medicine | Past | 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
- latha.chirunomula.1@31408.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- West Haven, CT
- NPI 1003005703
CT, Internal Medicine
-
- Psychiatric/Mental Health Nurse Practitioner
- West Haven, CT
- NPI 1679274039
CT, Internal Medicine
-
- Health Maintenance Organization
- Rockville, MD
- NPI 1811062763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.