Individual provider Active NPI

Vasant B Khachane, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hamden, CT
National Provider Identifier
1235177767
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
16376 Issued in CT
Practice address
2200 Whitney Ave
Suite 180
Hamden, CT 06518-3691
Phone
(203) 407-2500
Fax
(203) 407-2500
NPI assigned
Jun 4, 2006
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16376 CT
Cardiovascular Disease Physician 207RC0000X 16376 CT
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 16376 CT Primary

Addresses

Primary practice location

2200 Whitney Ave
Suite 180
Hamden, CT 06518-3691

Mailing address

2200 Whitney Ave
Suite 180
Hamden, CT 06518-3691
Phone (203) 407-2500

Other identifiers 1

IdentifierTypeStateIssuer
1163765MedicaidCT

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
I20091009000088 CT Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 3476543612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartcare Associates of Connecticut, LLCGroup PAC ID 1153215199, 7 clinicians

Practice addresses (Care Compare)

2200 Whitney Ave
Suite 180
Hamden, CT 06518-3691
Phone (203) 407-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion52
Laminectomy or laminotomy (partial removal of spine bones)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16376CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Aug 5, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 5, 2020 Accepting new patients
Heartcare Associates of Connecticut, LLC Cardiovascular Disease CurrentSince Jul 1, 2009 Accepting new patients
Northeast Medical Group, Inc. Cardiovascular Disease PastSince Jul 1, 2009 Accepting new patients
Cardiothoracic and Vascular Group Cardiovascular Disease PastSince May 18, 2004 Accepting new patients

Locations

2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800

2200 Whitney Ave
Ste 180
Hamden, CT 06518
Phone (203) 407-5800

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • Direct secure messaging: vasantb.khachane@xdr.hhchealthdirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1235177767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 180",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-407-2500",
            "fax_number": "203-407-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 180",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-407-2500",
            "fax_number": "203-407-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHANE",
        "first_name": "VASANT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "16376",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "16376",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CT",
            "license": "16376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163765",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.