Individual provider Active NPI

Gayethri Narayanswamy, M.D.

  • Family Medicine Physician
  • South Windsor, CT
National Provider Identifier
1376670646
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047731 Issued in CT
Practice address
2701 Tamarack Ave
South Windsor, CT 06074-5561
Phone
(860) 375-5141
Fax
(860) 896-8190
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Connecticut Physician Associates LLC 3 clinicians

Practice addresses (Care Compare)

2701 Tamarack Ave
South Windsor, CT 06074-5562
Phone (860) 375-5141

Hospital & facility affiliations

  • Greater Manchester Homecare, LLC Home health agency, Vernon, CT, CCN 077003
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Rockville General Hospital Hospital, Vernon, CT, CCN 070012

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090811000268 CT Practitioner - Family Practice 9638223654 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047731CTMDFamily Medicine Physician
229642MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Connecticut Physician Associates LLC Family Medicine CurrentSince Jun 22, 2013 Accepting new patients
Agm Homecare LLC Past Accepting new patients

Locations

2701 Tamarack Ave
South Windsor, CT 06074
Phone (860) 375-5141

Interoperability endpoints

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

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229642 MA
Family Medicine Physician 207Q00000X 047731 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

2701 Tamarack Ave
South Windsor, CT 06074-5561

Mailing address

2701 Tamarack Ave
South Windsor, CT 06074-5561
Phone (860) 375-5141

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
008003848MedicaidCT
1083690OtherCTCIGNA
9097377OtherCTAETNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2017.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1376670646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 TAMARACK AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745561",
            "telephone_number": "860-375-5141",
            "fax_number": "860-896-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 TAMARACK AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745561",
            "telephone_number": "860-375-5141",
            "fax_number": "860-896-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYANSWAMY",
        "first_name": "GAYETHRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "229642",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "047731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003848",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1083690",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9097377",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.