Individual provider Active NPI

Pavani Reddy Pingle, M.D

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1295966760
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
PENDING Issued in CT
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.

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

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PENDINGCTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced OB-GYN Doctors Obstetrics & Gynecology CurrentSince Mar 8, 2019 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

  • Direct secure messaging: ppingle2388003@direct.trinity-health.org
  • Direct secure messaging: pavanireddy.pingle@3243.securemail.prognocis.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X PENDING CT Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.