Individual provider Active NPI

Saragur M Jyothi, MD

  • Internal Medicine Physician
  • Ridgefield, CT
National Provider Identifier
1225065691
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
033217 Issued in CT
Practice address
580 Barrack Hill Rd
Ridgefield, CT 06877-2331
Phone
(203) 431-8836
NPI assigned
Jun 28, 2006
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 033217 CT Primary

Addresses

Primary practice location

580 Barrack Hill Rd
Ridgefield, CT 06877-2331

Mailing address

580 Barrack Hill Rd
Ridgefield, CT 06877-2331
Phone (203) 431-8836

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
I20100831001004 CT Practitioner - Internal Medicine 9234253055 Practice locations: Ridgefield, CT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033217CTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1225065691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BARRACK HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772331",
            "telephone_number": "203-431-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BARRACK HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772331",
            "telephone_number": "203-431-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JYOTHI",
        "first_name": "SARAGUR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "033217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.