Kabul S. Garg MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

022368 Issued in CT

Legal business name

KABUL S. GARG MD LLC

Practice address

666 George St
New Haven, CT 06511-5322

Phone

(203) 624-7635

Fax

(203) 624-5662

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Kabul S Garg, MDNPI 1316962236

Title

Owner

Phone

(203) 624-7635

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCFECA

Practitioners 1

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

• Kabul S Garg, MD

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1316962236
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1205100559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115322",
            "telephone_number": "203-624-7635",
            "fax_number": "203-624-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115322",
            "telephone_number": "203-624-7635",
            "fax_number": "203-624-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABUL S. GARG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "KABUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-624-7635",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "022368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022368",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Just Wellness
• Charlene Olivia Justin, PA-C
• Manisha Juthani-Mehta, MD
• Juvo Behavioral Health of Connecticut, LLC
• Ledornubari Kabari, LCSW
• Megan Kachmar
• Stephanie Kacik, APRN
• Anis John Kadado, M.D.
• Nidhi Kadakia, MD
• Nina S Kadan-Lottick, MD

• Internal Medicine Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.