Active NPI
Shefali Ram Pathy, MD
- Obstetrics & Gynecology Physician
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 045738
- Practice address
- 1351 Washington Blvd
Stamford, CT 06902-2419 - Phone
- (203) 621-3700
- Fax
- (203) 332-0376
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 233622 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 045738 | CT | Primary |
Addresses
Primary practice location
1351 Washington Blvd
Stamford, CT 06902-2419
Mailing address
1351 Washington Blvd
Stamford, CT 06902-2419
Phone (203) 621-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02665603 | Medicaid | NY | |
| 004234788 | Medicaid | CT |
Other names 1
- Dr. Shefali Ram Pardanani
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228
Hospital & facility affiliations
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045738 | CT | MD | Obstetrics & Gynecology Physician |
| 233622 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell Scott Hill Health Corporation | Current | Accepting new patients | |
| Yale University | Obstetrics & Gynecology | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Optimus Health Care Inc | Current | Accepting new patients |
Locations
982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260
471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864
428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
Interoperability endpoints
- spathy4225@direct.ynhh.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- New Haven, CT
- NPI 1902921380
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1376682245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 WASHINGTON BLVD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022419",
"telephone_number": "203-621-3700",
"fax_number": "203-332-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 WASHINGTON BLVD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022419",
"telephone_number": "203-621-3700",
"fax_number": "203-332-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATHY",
"first_name": "SHEFALI",
"middle_name": "RAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "233622",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "045738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02665603",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004234788",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHEFALI",
"last_name": "PARDANANI",
"middle_name": "RAM",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.