NPIMap

Individual provider Active NPI

Garumuni A. Desilva, M.D.

  • Internal Medicine Physician
  • Hamden, CT
National Provider Identifier
1275539892
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043156 Issued in CT
Practice address
2080 Whitney Ave Ste 250
Hamden, CT 06518-3606
Phone
(203) 535-0262
Fax
(203) 535-0374
NPI assigned
Jun 28, 2005
Last updated
May 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 043156 CT Primary

Addresses

Primary practice location

2080 Whitney Ave Ste 250
Hamden, CT 06518-3606

Mailing address

PO Box 636
Guilford, CT 06437-0636
Phone (203) 535-0262

Other identifiers 1

IdentifierTypeStateIssuer
001431569MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, VA3 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
I20050602000783 CT Practitioner - Internal Medicine 6709829500 Reassigns benefits to 2 organizations
I20220513000194 MA Practitioner - Internal Medicine 6709829500 Reassigns benefits to 1 organization
I20251031002461 VA Practitioner - Internal Medicine 6709829500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient Choice Medical Care LLCGroup PAC ID 7911299128, 6 clinicians

Practice addresses (Care Compare)

665 W Main St
Cheshire, CT 06410-3924
Phone (203) 272-2901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043156CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Choice Medical Care LLC Internal Medicine CurrentSince Jun 15, 2016 Accepting new patients
Garumuni Anura Desilva, MD PC Internal Medicine PastSince May 1, 2022 Accepting new patients
Impact Health New Jersey PC Internal Medicine PastSince Jun 1, 2022 Accepting new patients
Impact Health Psych PC PastSince Oct 1, 2020 Accepting new patients

Locations

665 W Main St
Cheshire, CT 06410
Phone (203) 272-2901

2080 Whitney Ave
Ste 250
Hamden, CT 06518
Phone (203) 535-0262

Interoperability endpoints

  • Direct secure messaging: gdesilva2918@direct.ynhh.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shady Knoll Center for Health and RehabiliationSeymour, CT, CCN 075386 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 2, 2024
Dec 2, 2024
Summit at Plantsville Center for Health and RehabilitationPlantsville, CT, CCN 075420 Skilled nursing facility Adp of the SNF Oct 10, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1275539892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064370636",
            "telephone_number": "203-535-0262",
            "fax_number": "203-535-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WHITNEY AVE STE 250",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183606",
            "telephone_number": "203-535-0262",
            "fax_number": "203-535-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESILVA",
        "first_name": "GARUMUNI",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001431569",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.