Individual provider Active NPI

Chandra K. Sacheti, M.D

  • Cardiovascular Disease Physician
  • Vernon, CT
National Provider Identifier
1124087655
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
018588 Issued in CT
Practice address
561 Talcottville Rd
Vernon, CT 06066-2311
Phone
(860) 871-2016
Fax
(860) 870-5451
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 018588 CT
Cardiovascular Disease Physician 207RC0000X 018588 CT Primary
Interventional Cardiology Physician 207RI0011X 018588 CT

Addresses

Primary practice location

561 Talcottville Rd
Vernon, CT 06066-2311

Mailing address

561 Talcottville Rd
Vernon, CT 06066
Phone (860) 871-2016

Other identifiers 1

IdentifierTypeStateIssuer
001185883MedicaidCT

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
I20050317000528 CT Practitioner - Cardiovascular Disease (Cardiology) 6800865247 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chandra K. Sacheti, M.D., LLCGroup PAC ID 0345203659, 3 clinicians

Practice addresses (Care Compare)

561 Talcottville Rd
Vernon, CT 06066-2311
Phone (860) 871-2016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018588CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Chandra K. Sacheti, M.D., LLC Specialist CurrentSince Jul 1, 1997 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

561 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 871-2016

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1124087655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066",
            "telephone_number": "860-871-2016",
            "fax_number": "860-870-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662311",
            "telephone_number": "860-871-2016",
            "fax_number": "860-870-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHETI",
        "first_name": "CHANDRA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "018588",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "018588",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CT",
            "license": "018588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001185883",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.