Organization Active NPI

Winsted Pediatrics

  • Pediatrics Physician
  • Winsted, CT
National Provider Identifier
1346003407
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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 KheraNPI 1073570784
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2266094Winsted Pediatrics115 Spencer St, Winsted, CT 06098Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

115 Spencer St
Ste 13
Winsted, CT 06098
Phone (860) 738-0400

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.