Individual provider Active NPI

Prashanth Atluri, M.D

  • Internal Medicine Physician
  • New Haven, CT
National Provider Identifier
1275847949
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64896 Issued in CT
Practice address
20 York Street, CB-2041
New Haven, CT 06510-3220
Phone
(203) 688-4748
Fax
(203) 688-4741
NPI assigned
Aug 4, 2010
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301102420 MI
Internal Medicine Physician 207R00000X 64896 CT Primary
Hospitalist Physician 208M00000X 64896 CT
Phlebology Physician 202K00000X 64896 CT

Addresses

Primary practice location

20 York Street, CB-2041
New Haven, CT 06510-3220

Mailing address

20 York Street, CB-329
New Haven, CT 06510-3220
Phone (203) 688-4748

Other practice location 1

903 Hartford Tpke Unit 30
Waterford, CT 06385-4264
Phone (860) 574-3423

Other practice location 2

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200519002143 CT Practitioner - Hospitalist 7517195951 Reassigns benefits to 1 organization
I20250915001573 CT Practitioner - Internal Medicine 7517195951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-1378

903 Hartford Tpke
Suite 30
Waterford, CT 06385-4264
Phone (860) 574-3423

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince May 11, 2020 Accepting new patients
Modern Vein Care of Connecticut LLC CurrentSince Apr 29, 2026 Accepting new patients
Modern Vein Providers, PLLC CurrentSince Aug 5, 2025 Accepting new patients
USA Vein Clinics of Connecticut PLLC PastSince Aug 5, 2025 Accepting new patients
Connecticut Phlebology PC Phlebology PastSince Jun 1, 2019 Accepting new patients

Locations

20 York St
North Haven, CT 06510
Phone (203) 688-2433

20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734

800 Main St S
Ste 110
Southbury, CT 06488
Phone (203) 723-3505

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

903 Hartford Tpke
Waterford, CT 06385
Phone (860) 574-3423

903 Hartford Tpke
Ste 30
Waterford, CT 06385
Phone (860) 574-3423

903 Hartford Tpke
Unit 30
Waterford, CT 06385
Phone (860) 574-3423

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBCJDD/Endpoint/HBCJDD
  • Direct secure messaging: patluri464651@direct.ynhh.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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1275847949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK STREET, CB-329",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK STREET, CB-2041",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Hartford Tpke Unit 30",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "CT",
            "postal_code": "063854264",
            "country_code": "US",
            "telephone_number": "860-574-3423",
            "fax_number": "860-222-9082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 Gull Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481640",
            "country_code": "US",
            "telephone_number": "269-226-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATLURI",
        "first_name": "PRASHANTH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301102420",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "64896",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "64896",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CT",
            "license": "64896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.