Individual provider Active NPI

Rajwardhan Yadav, M.D., PH.D.

  • Rheumatology Physician
  • Southington, CT
National Provider Identifier
1134445653
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
53734 Issued in CT
Practice address
1131 West St Ste 1
Southington, CT 06489-6006
Phone
(860) 621-1461
Fax
(860) 628-5611
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 53734 CT Primary

Addresses

Primary practice location

1131 West St Ste 1
Southington, CT 06489-6006

Mailing address

527 Medical Park Dr Ste 400
Bridgeport, WV 26330-9010
Phone (681) 342-3500

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
I20200828002309 CT Practitioner - RheumatologyPractitioner - Hospitalist 2264750256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthnomic Partners LLCGroup PAC ID 7315342094, 22 clinicians

Practice addresses (Care Compare)

1131 W St
Suite 1
Southington, CT 06489-6006
Phone (860) 621-1461

Hospital & facility affiliations

  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Rheumatology CurrentSince Sep 7, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 7, 2020 Accepting new patients
Healthnomic Partners LLC Rheumatology CurrentSince Jan 15, 2024 Accepting new patients
Saint Francis Hospital and Medical Center Past Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1000 Asylum Ave
Ste 2115
Hartford, CT 06105
Phone (860) 247-2530

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

32 Poverty Rd
Ste E
Southbury, CT 06488
Phone (475) 766-1042

1131 West St
Ste 1
Southington, CT 06489
Phone (860) 378-2811

8379 W Sunset Rd
Ste 210
Las Vegas, NV 89113

2435 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (725) 200-3242

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1134445653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 400",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309010",
            "telephone_number": "681-342-3500",
            "fax_number": "681-342-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WEST ST STE 1",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "860-621-1461",
            "fax_number": "860-628-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADAV",
        "first_name": "RAJWARDHAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "53734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.