NPIMap

Individual provider Active NPI

Saqib Inayatullah, MD

  • Nephrology Physician
  • Uncasville, CT
National Provider Identifier
1235336934
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
55203 Issued in CT
Practice address
88 Norwich New London Tpke Ste 2
Uncasville, CT 06382
Phone
(860) 367-0087
NPI assigned
Jun 27, 2007
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44835 KY
Nephrology Physician 207RN0300X 55203 CT Primary

Addresses

Primary practice location

88 Norwich New London Tpke Ste 2
Uncasville, CT 06382

Mailing address

88 Norwich New London Tpke Ste 2
Uncasville, CT 06382-2518

Other practice location 1

800 Rose St
Lexington, KY 40536-0298
Phone (859) 323-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, CT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140707000649 IN Practitioner - Internal Medicine 8224128350 Reassigns benefits to 2 organizations
I20170123002561 KY Practitioner - Internal Medicine 8224128350 Reassigns benefits to 2 organizations
I20190211001242 CT Practitioner - NephrologyPractitioner - Internal Medicine 8224128350 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44835KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windham Community Memorial Hospital, Inc. CurrentSince May 1, 2021 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
The William W Backus Hospital Current Accepting new patients
Pikeville Medical Center Inc. CurrentSince Dec 8, 2016 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Internal Medicine CurrentSince Dec 25, 2018 Accepting new patients
Southeastern Connecticut Nephrology Associates PC Nephrology CurrentSince Oct 1, 2019 Accepting new patients
The William W Backus Hospital Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
William W Backus Hospital CurrentSince Apr 1, 2020 Accepting new patients
Pikeville Medical Center Inc CurrentSince Dec 8, 2016 Accepting new patients
Kidney & Hypertension Consultants, P.C. Nephrology CurrentSince May 24, 2014 Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Internal Medicine Past Accepting new patients
Baystate Medical Practices, Inc Internal Medicine Past Accepting new patients
Southeastern CT Nephrology Assoc. PastSince Oct 1, 2019 Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

88 Norwich New London Tpke
Ste 2
Uncasville, CT 06382
Phone (860) 367-0087

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

7830 Madison Ave
Ste B
Indianapolis, IN 46227
Phone (317) 518-2467

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Interoperability endpoints

  • Direct secure messaging: saqib.inayatullah@xdr.hhchealthdirect.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1235336934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NORWICH NEW LONDON TPKE STE 2",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NORWICH NEW LONDON TPKE STE 2",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "06382",
            "telephone_number": "860-367-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360298",
            "country_code": "US",
            "telephone_number": "859-323-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INAYATULLAH",
        "first_name": "SAQIB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "44835",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "55203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.