Individual provider Active NPI

Balakrishnan Sathishchandar, M.D.

  • Internal Medicine Physician
  • Waterbury, CT
National Provider Identifier
1104875640
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
023468 Issued in CT
Practice address
2457 E Main St
Suite 1E
Waterbury, CT 06705-2685
Phone
(203) 753-8477
Fax
(203) 757-2617
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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 023468 CT Primary

Addresses

Primary practice location

2457 E Main St
Suite 1E
Waterbury, CT 06705-2685

Mailing address

287 Walsh Ave
Newington, CT 06111-3542
Phone (860) 436-2732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023468CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meriden Health Care LLC PastSince Nov 1, 2014 Accepting new patients
Everyday Medical Care Center LLC Internal Medicine PastSince May 30, 2009 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1104875640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 WALSH AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113542",
            "telephone_number": "860-436-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 E MAIN ST",
            "address_2": "SUITE 1E",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052685",
            "telephone_number": "203-753-8477",
            "fax_number": "203-757-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHISHCHANDAR",
        "first_name": "BALAKRISHNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "023468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.