NPIMap

Individual provider Active NPI

Babu Shiva Kumar, MD

  • Internal Medicine Physician
  • Hamden, CT
National Provider Identifier
1295721942
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
032892 Issued in CT
Practice address
2543 Dixwell Ave
Hamden, CT 06514-1809
Phone
(203) 230-4160
Fax
(203) 848-2484
NPI assigned
Sep 27, 2005
Last updated
Jul 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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 032892 CT Primary

Addresses

Primary practice location

2543 Dixwell Ave
Hamden, CT 06514-1809

Mailing address

2543 Dixwell Ave
Hamden, CT 06514-1809
Phone (203) 230-4160

Other identifiers 1

IdentifierTypeStateIssuer
001328922MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080103000546 CT Practitioner - Internal Medicine 3476442781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family and Internal Medicine of Dixwell AvenueGroup PAC ID 8527148550, 2 clinicians

Practice addresses (Care Compare)

2543 Dixwell Ave
Hamden, CT 06514-1860
Phone (203) 230-4160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032892CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Internal Medicine of Dixwell Avenue Internal Medicine CurrentSince Nov 19, 2007 Accepting new patients
Family Practice & Internal Medicine of Spring Gren LLC Internal Medicine Past Accepting new patients

Locations

2543 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-4160

Interoperability endpoints

  • Direct secure messaging: babu.kumar@fimd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECCCBA

Organizations & group practices 3

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 8

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1295721942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141809",
            "telephone_number": "203-230-4160",
            "fax_number": "203-848-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141809",
            "telephone_number": "203-230-4160",
            "fax_number": "203-848-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "BABU",
        "middle_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001328922",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.