NPIMap

Organization Active NPI

Falcon Medical LLC

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1306451869
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FALCON MEDICAL LLC
Practice address
101 Washington Blvd Unit 1208
Stamford, CT 06902-7060
Phone
(319) 671-1542
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Krishna Chaitanya Kilaru, MDNPI 1598152936
Title
President
Phone
(319) 671-1542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

101 Washington Blvd Unit 1208
Stamford, CT 06902-7060

Mailing address

101 Washington Blvd Unit 1208
Stamford, CT 06902-7060
Phone (319) 671-1542

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1306451869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WASHINGTON BLVD UNIT 1208",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027060",
            "telephone_number": "319-671-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WASHINGTON BLVD UNIT 1208",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027060",
            "telephone_number": "319-671-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "KILARU",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "CHAITANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-671-1542",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.