Individual provider Active NPI

Sandeep Kumar Johar, DO

  • Pain Medicine Physician
  • Waterbury, CT
National Provider Identifier
1174615017
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
049078 Issued in CT
Practice address
500 Chase Pkwy
Waterbury, CT 06708-3346
Phone
(203) 755-6677
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 049078 CT
Sports Medicine (Emergency Medicine) Physician 207PS0010X 049078 CT
Pain Medicine Physician 208VP0000X 049078 CT Primary

Addresses

Primary practice location

500 Chase Pkwy
Waterbury, CT 06708-3346

Mailing address

500 Chase Pkwy
Waterbury, CT 06708-3346
Phone (203) 755-6677

Other identifiers 2

IdentifierTypeStateIssuer
001421800MedicaidFL
02838200MedicaidNY

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
I20110208000279 CT Practitioner - Emergency Medicine 9537262985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgery Orthopaedics and Spine Specialists PCGroup PAC ID 8820087463, 16 clinicians

Practice addresses (Care Compare)

500 Chase Pkwy
Waterbury, CT 06708-3346
Phone (203) 755-6677

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
70.29 of 100Reported as group
Quality
56.67
Promoting interoperability
86
Improvement activities
20
Cost
72.87

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
049078CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery Orthopaedics & Spine Specialists PC Sports Medicine CurrentSince Jul 22, 2016 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2010 Accepting new patients
Hartford Hospital CurrentSince Oct 1, 2010 Accepting new patients
Neurosurgery, Orthopaedics & Spine Specialists, PC CurrentSince Jul 22, 2016 Accepting new patients
Hartford Hospital Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
Pomperaug Plastic Surgery, LLC Past Accepting new patients
Emergency Medicine Physicians of Cortland County, PLLC Emergency Medicine Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

500 Chase Pkwy
Waterbury, CT 06708
Phone (203) 264-7999

500 Chase Pkwy
Fl 1
Waterbury, CT 06708
Phone (203) 754-2266

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

500 Chase Pkwy
Fl 2
Waterbury, CT 06708
Phone (203) 262-6200

Interoperability endpoints

  • Direct secure messaging: sjohar@noss.emrgedirect.com
  • Direct secure messaging: sjohar3006525@direct.trinity-health.org
  • Direct secure messaging: sjohar@direct.wtbyhosp.org

Organizations & group practices 7

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1174615017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083346",
            "telephone_number": "203-755-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083346",
            "telephone_number": "203-755-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHAR",
        "first_name": "SANDEEP",
        "middle_name": "KUMAR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "049078",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CT",
            "license": "049078",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CT",
            "license": "049078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001421800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02838200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.