Active NPI
Bhavna Matta, M.D.
- Hospitalist Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- CT-68899
- Practice address
- 24 Hospital Avenue
Danbury Hospital
Danbury, CT 06810 - Phone
- (203) 460-0000
- Fax
- (203) 749-9092
- NPI assigned
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 68899 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | CT-68899 | CT | Primary |
Addresses
Primary practice location
24 Hospital Avenue
Danbury Hospital
Danbury, CT 06810
Mailing address
24 Hospital Avenue
Hospitalist Office, Danbury Hospital
Danbury, CT 06810
Phone (203) 739-8105
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118
Hospital & facility affiliations
- Regional Hospice
- Danbury Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT-68899 | CT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Internal Medicine | Current | Accepting new patients |
| Western Connecticut Health Network Affiliates, Inc | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
24 Hospital Ave
Ofc
Danbury, CT 06810
Phone (203) 739-7493
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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- Ambulance
- Danbury, CT
- NPI 1457824989
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- Community Based Hospice Care Agency
- Danbury, CT
- NPI 1649228016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1154899292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HOSPITAL AVENUE",
"address_2": "HOSPITALIST OFFICE, DANBURY HOSPITAL",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-739-8105",
"fax_number": "203-749-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HOSPITAL AVENUE",
"address_2": "DANBURY HOSPITAL",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-460-0000",
"fax_number": "203-749-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTA",
"first_name": "BHAVNA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "68899",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "CT-68899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.