Active NPI
Pavani Reddy Pingle, M.D
- Obstetrics & Gynecology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- PENDING
- Practice address
- 645 Farmington Ave
Hartford, CT 06105-2907 - Phone
- (860) 206-8262
- NPI assigned
- Aug 2, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- West Hartford, CT
- NPI 1144549353
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
599 Main St
Suite 2
Manchester, CT 06040-5156
Phone (860) 643-6440
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091019000619 | CT | Practitioner - Obstetrics/Gynecology | 4284771502 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced OB-GYN Doctors | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
146 Hazard Ave
Ste 104
Enfield, CT 06082
Phone (860) 749-7437
645 Farmington Ave
Hartford, CT 06105
Phone (860) 523-9788
19 Woodland St
Ste 43
Hartford, CT 06105
Phone (860) 549-4600
599 Main St
Ste 2
Manchester, CT 06040
Phone (860) 643-6440
Interoperability endpoints
- ppingle2388003@direct.trinity-health.org
- pavanireddy.pingle@3243.securemail.prognocis.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | PENDING | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
645 Farmington Ave
Hartford, CT 06105-2907
Mailing address
645 Farmington Ave
Hartford, CT 06105-2907
Phone (860) 233-6666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2018.
{
"created_epoch": "1249171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1295966760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052907",
"telephone_number": "860-233-6666",
"fax_number": "860-233-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052907",
"telephone_number": "860-206-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINGLE",
"first_name": "PAVANI REDDY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-02",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.