Individual provider Active NPI

Sujata Prasad, M.D.

  • Internal Medicine Physician
  • Hartford, CT
National Provider Identifier
1366444671
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
028966 Issued in CT
Practice address
1000 Asylum Ave
Ste 1004
Hartford, CT 06105-1770
Phone
(860) 714-4532
Fax
(860) 714-8275
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 028966 CT Primary

Addresses

Primary practice location

1000 Asylum Ave
Ste 1004
Hartford, CT 06105-1770

Mailing address

1423 Chapel St
Ste 1B
New Haven, CT 06511-4411
Phone (203) 891-7134

Other identifiers 1

IdentifierTypeStateIssuer
001289661MedicaidCT

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
I20090901000679 CT Practitioner - Internal Medicine 1456406149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margaret Chustecka Internal Medicine of Greater New HavenGroup PAC ID 3274557152, 30 clinicians
United Community and Family Services, IncGroup PAC ID 9032012497, 71 clinicians

Practice addresses (Care Compare)

1952 Whitney Ave
Hamden, CT 06517-1209
Phone (203) 848-1803

47 Town St
Norwich, CT 06360-2323
Phone (860) 892-7042

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028966CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Community and Family Services, Inc. Internal Medicine CurrentSince Jun 17, 2024 Accepting new patients
Margaret Chustecka Internal Medicine of Greater New Haven Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine Past Accepting new patients

Locations

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

1952 Whitney Ave
Ste 3
New Haven, CT 06517
Phone (203) 288-0129

351 N Frontage Rd
Ste 24
New London, CT 06320
Phone (860) 442-4319

47 Town St
Norwich, CT 06360

165 McKinley Ave
Norwich, CT 06360
Phone (860) 822-2805

165 McKinley Ave
Ste 1
Norwich, CT 06360

800 Old Colchester Rd
Oakdale, CT 06370
Phone (860) 822-4775

385 Main St
West Haven, CT 06516
Phone (203) 848-6710

Interoperability endpoints

  • Direct secure messaging: sprasad716563@direct.ochin.org
  • Direct secure messaging: sprasad340759@direct.ynhh.org

Organizations & group practices 3

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 5

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1366444671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CHAPEL ST",
            "address_2": "STE 1B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114411",
            "telephone_number": "203-891-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "STE 1004",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-4532",
            "fax_number": "860-714-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SUJATA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "028966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001289661",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.