Individual provider Active NPI

Kabul S Garg, MD

  • Internal Medicine Physician
  • New Haven, CT
National Provider Identifier
1316962236
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A0223684 Issued in CT
Practice address
666 George Street
Kabul S Garg MD LLC Cardiology & Internal Medicine
New Haven, CT 06511
Phone
(203) 624-7635
Fax
(203) 624-5662
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A0223684 CT Primary
Cardiovascular Disease Physician 207RC0000X A0223684 CT

Addresses

Primary practice location

666 George Street
Kabul S Garg MD LLC Cardiology & Internal Medicine
New Haven, CT 06511

Mailing address

666 George Street
Kabul S Garg MD LLC Cardiology & Internal Medicine
New Haven, CT 06511-2851
Phone (203) 624-7635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH2 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
I20070118000490 CT Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5698776664 Reassigns benefits to 4 organizations
I20230510002644 NH Practitioner - Cardiovascular Disease (Cardiology) 5698776664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kan-Di-Ki LLCGroup PAC ID 5991737140, 38 clinicians

Practice addresses (Care Compare)

460 Smith St
Suite a
Middletown, CT 06457-1594
Phone (800) 786-8015

666 George St
FL 1
New Haven, CT 06511-5376
Phone (203) 624-7635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
98.74
Improvement activities
40
Cost
89.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A0223684CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kan-Di-Ki, LLC CurrentSince Jan 15, 2018 Accepting new patients
Kan-Di-Ki LLC CurrentSince Jun 30, 2025 Accepting new patients
Reono Bertagnolli a Medical Group CurrentSince Jan 15, 2018 Accepting new patients
Hospital of Saint Raphael Past Accepting new patients
Saint Raphael Faculty Physicians Internal Medicine Past Accepting new patients

Locations

12612 Raymer St
North Hollywood, CA 91605
Phone (818) 549-1880

460 Smith St
Ste A
Middletown, CT 06457
Phone (203) 683-4541

2 Jonathan Dr
Brockton, MA 02301
Phone (508) 313-0070

930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCFECA/Endpoint/DCFECA

Organizations & group practices 7

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.

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1316962236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 GEORGE STREET",
            "address_2": "KABUL S GARG MD LLC CARDIOLOGY & INTERNAL MEDICINE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112851",
            "telephone_number": "203-624-7635",
            "fax_number": "203-624-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GEORGE STREET",
            "address_2": "KABUL S GARG MD LLC CARDIOLOGY & INTERNAL MEDICINE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-624-7635",
            "fax_number": "203-624-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "KABUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "A0223684",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "A0223684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.