Individual provider Active NPI

Anandhi Baleswaren, MD

  • Internal Medicine Physician
  • Groton, CT
National Provider Identifier
1346246444
Registry record updated Nov 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038604 Issued in CT
Practice address
481 Gold Star Hwy
Suite 100
Groton, CT 06340-6702
Phone
(860) 446-8858
Fax
(860) 405-2140
NPI assigned
Jun 23, 2005
Last updated
Nov 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2013

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 038604 CT Primary
Pediatrics Physician 208000000X 038604 CT

Addresses

Primary practice location

481 Gold Star Hwy
Suite 100
Groton, CT 06340-6702

Mailing address

481 Gold Star Hwy
Suite 100
Groton, CT 06340-6702
Phone (860) 446-8858

Other identifiers 1

IdentifierTypeStateIssuer
001386045MedicaidCT

Other names 1

  • Anandhi Pathman Former name

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000031 CT Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8820173826 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038604CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Jul 2, 2001 Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Nov 10, 2009 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Nov 10, 2009 Accepting new patients
Community Health Center Inc Internal Medicine CurrentSince Jul 2, 2001 Accepting new patients
Community Health Center Inc. Internal Medicine Past Accepting new patients
Community Health Center Inc Internal Medicine Past Accepting new patients

Locations

575 Main St
Ste 2
Middletown, CT 06457

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

365 Montauk Ave
Rm 4
New London, CT 06320

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Interoperability endpoints

  • Direct secure messaging: anandhi.baleswaren@chcict.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385683200000",
    "number": "1346246444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 GOLD STAR HWY",
            "address_2": "SUITE 100",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406702",
            "telephone_number": "860-446-8858",
            "fax_number": "860-405-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GOLD STAR HWY",
            "address_2": "SUITE 100",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406702",
            "telephone_number": "860-446-8858",
            "fax_number": "860-405-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESWAREN",
        "first_name": "ANANDHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038604",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "038604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001386045",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANANDHI",
            "last_name": "PATHMAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.