Individual provider Active NPI

Geetha P Bhumireddy, MD

  • Cardiovascular Disease Physician
  • Hartford, CT
National Provider Identifier
1265798474
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
52095 Issued in CT
Practice address
21 Woodland St
Hartford, CT 06105-4318
Phone
(860) 595-3130
Fax
(860) 595-3129
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Health of New England Provider Network Organization Inc 644 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Johnson Memorial Hospital Hospital, Stafford Springs, CT, CCN 070008
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

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
I20130724000143 CT Practitioner - Cardiovascular Disease (Cardiology) 3274774831 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52095CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jul 29, 2013 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jul 29, 2013 Accepting new patients

Locations

852 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 714-5895

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

110 Albany Tpke
Ste 209
Canton, CT 06019
Phone (860) 693-4060

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1000 Asylum Ave
Ste 4300
Hartford, CT 06105
Phone (860) 278-9439

1000 Asylum Ave
Rm 1004
Hartford, CT 06105
Phone (860) 714-4532

1000 Asylum Ave
Ste 2108
Hartford, CT 06105
Phone (860) 714-4097

Interoperability endpoints

  • Direct secure messaging: gbhumireddy2388762@direct.trinity-health.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52095 CT
Cardiovascular Disease Physician 207RC0000X 52095 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

21 Woodland St
Hartford, CT 06105-4318

Mailing address

21 Woodland St
Hartford, CT 06105-4318
Phone (860) 595-3130

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address gbhumireddy16091@direct.stfranciscare.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2021.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1265798474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054318",
            "telephone_number": "860-595-3130",
            "fax_number": "860-595-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054318",
            "telephone_number": "860-595-3130",
            "fax_number": "860-595-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUMIREDDY",
        "first_name": "GEETHA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "52095",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "52095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbhumireddy16091@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "114 Woodland St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061051208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.