Connecticut Regional Pain Specialists,LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CONNECTICUT REGIONAL PAIN SPECIALISTS,LLC

Practice address

2447 Whitney Ave Ste 2B
Hamden, CT 06518-3211

Phone

(203) 624-4400

Fax

(203) 624-4402

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mohan Sada Vodapally, M.D.NPI 1952340887

Title

Provider/Practice Director

Phone

(203) 624-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohan Vodapally, M.D.,DABPM

  • Interventional Pain Medicine Physician
  • Hamden, CT
  • NPI 1952340887
  Medicare reassignment Care Compare group NPD Authorized official
• Christian Todzia

  • Family Nurse Practitioner
  • Middletown, CT
  • NPI 1861254450
  Medicare reassignment Care Compare group NPD
• Annekie T Bogues

  • Family Nurse Practitioner
  • Bridgeport, CT
  • NPI 1265083513
  Medicare reassignment NPD
• Kevin Dinsmore, APRN

  • Family Nurse Practitioner
  • New Haven, CT
  • NPI 1447625785
  Medicare reassignment NPD
• Sara Serpil Turk

  • Family Nurse Practitioner
  • Hamden, CT
  • NPI 1508515172
  Medicare reassignment NPD

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1245472604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 WHITNEY AVE STE 2B",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183211",
            "telephone_number": "203-624-4400",
            "fax_number": "203-624-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 WHITNEY AVE STE 2B",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183211",
            "telephone_number": "203-624-4400",
            "fax_number": "203-624-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT REGIONAL PAIN SPECIALISTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "VODAPALLY",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "SADA",
        "authorized_official_title_or_position": "PROVIDER/PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "203-624-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut Orthopaedic Specialists, PC
• Connecticut Orthopaedic Specialists, PC
• Connecticut Orthopaedic Specialists, PC
• Connecticut Orthopedics Neuro Management, LLC
• Connecticut Psychiatric & Wellness Center
• Connecticut Weight & Wellness, LLC
• Gina Connolly, LCSW
• Thomas R Conrod, O.D.
• Lauren Conron
• Joseph Consalvo, RPT

• Interventional Pain Medicine Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Interventional Pain Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.