Active NPI
Gayethri Narayanswamy, M.D.
- Family Medicine Physician
- South Windsor, CT
National Provider Identifier
1376670646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 047731
- 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.
-
- Family Medicine Physician
- South Windsor, CT
- NPI 1821436007
CT, Family Medicine
-
- Home Health Agency
- Shrewsbury, MA
- NPI 1063956282
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vernon, CT
- NPI 1619847324
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
Hospital
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
Practice addresses (Care Compare)
2701 Tamarack Ave
South Windsor, CT 06074-5562
Phone (860) 375-5141
Hospital & facility affiliations
- Greater Manchester Homecare, LLC
- Manchester Memorial Hospital
- Rockville General Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 047731 | CT | MD | Family Medicine Physician |
| 229642 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Connecticut Physician Associates LLC | Family Medicine | Current | Accepting new patients |
| Agm Homecare LLC | Past | Accepting new patients |
Locations
2701 Tamarack Ave
South Windsor, CT 06074
Phone (860) 375-5141
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEIIAD/Endpoint/HEIIAD
- https://fhir4.healow.com/fhir/r4/HEIIAD
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 229642 | MA | |
| Family Medicine Physician | 207Q00000X | 047731 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003848 | Medicaid | CT | |
| 1083690 | Other | CT | CIGNA |
| 9097377 | Other | CT | AETNA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.