Active NPI
Winsted Pediatrics
- Pediatrics Physician
- Winsted, CT
National Provider Identifier
1346003407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WINSTED PEDIATRICS
- Practice address
- 115 Spencer St 3Rd FLR 13
Winsted, CT 06098-1141 - Phone
- (860) 738-0400
- NPI assigned
- Feb 1, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mohammad S Khera
- Title
- MD
- Phone
- (860) 738-0400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2266094 | Winsted Pediatrics | Certificate of waiver | Aug 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
115 Spencer St
Ste 13
Winsted, CT 06098
Phone (860) 738-0400
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
115 Spencer St 3Rd FLR 13
Winsted, CT 06098-1141
Mailing address
115 Spencer St 3Rd FLR 13
Winsted, CT 06098-1141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2024.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1346003407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SPENCER ST 3RD FLR 13",
"city": "WINSTED",
"state": "CT",
"postal_code": "060981141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SPENCER ST 3RD FLR 13",
"city": "WINSTED",
"state": "CT",
"postal_code": "060981141",
"telephone_number": "860-738-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINSTED PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "KHERA",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "860-738-0400"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winsted, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.