Barochia Internal Medicine, LLC

Key facts

NPI: 1164518361
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
License: 041851 (CT)
Legal business name: BAROCHIA INTERNAL MEDICINE, LLC
Practice address: 66 Cedar St
Suite 105
Newington, CT 06111-2633
Phone: (860) 667-8200
Fax: (860) 667-8202
NPI assigned: Oct 5, 2006
Organization subpart: No

Authorized official

Name: Dr. Sanjay P Barochia, M.D. NPI 1972520914
Title: Owner
Phone: (860) 667-8200

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Sanjay Parbatbhai Barochia, M.D. Internal Medicine Physician · Newington, CT · NPI 1972520914

Medicare reassignment NPD Authorized official CT · INTERNAL MEDICINE

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
07D1058290	Barochia Internal Medicine, LLC 66 Cedar Street, Suite 105, Newington, CT 06111	Certificate of waiver	Sep 4, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20061011000399	CT	Part B Supplier - Clinic/Group Practice	8224034418	Receives reassigned benefits from 1 practitioner Practice locations: Newington, CT

National Provider Directory

Locations

66 Cedar St
Ste 105
Newington, CT 06111
Phone (860) 667-8200

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/FFDCAA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207R00000X	041851	CT	Yes

Addresses

Primary practice location

66 Cedar St
Suite 105
Newington, CT 06111-2633

Mailing address

66 Cedar St
Suite 105
Newington, CT 06111-2633
Phone (860) 667-8200

Other identifiers

Identifier	Type	State	Issuer
001418517	Medicaid	CT

Other providers in Newington, CT

All providers in Newington, CT · Internal Medicine Physician in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.