NPIMap

Individual provider Active NPI

Kevin M Tharakan, MD

  • Family Medicine Physician
  • Guilford, CT
National Provider Identifier
1386222636
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76890 Issued in CT
Practice address
1591 Boston Post Rd Ste 100
Guilford, CT 06437-4335
Phone
(203) 932-6481
Fax
(203) 932-4051
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 76890 CT Primary

Addresses

Primary practice location

1591 Boston Post Rd Ste 100
Guilford, CT 06437-4335

Mailing address

1 Cellini PL Ste 102
West Haven, CT 06516-1666
Phone (203) 932-6481

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kevin.tharakan@xdr.hhchealthdirect.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613004087 CT Practitioner - Family Practice 4789127143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1 Cellini PL
Suite 102
West Haven, CT 06516-1666
Phone (203) 932-6481

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76890CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC Family Medicine Current Accepting new patients
HHC Physician Services, PLLC CurrentSince Aug 5, 2024 Accepting new patients
HHC Physician Services, PLLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

350 Goose Ln
Ste 203B
Guilford, CT 06437
Phone (203) 408-2700

1591 Boston Post Rd
Ste 100
Guilford, CT 06437
Phone (203) 453-9911

1622 Boston Post Rd
Milford, CT 06460
Phone (475) 209-9130

1453 Whalley Ave
New Haven, CT 06515
Phone (203) 389-4111

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

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

Hospital & facility affiliations 9

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1386222636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CELLINI PL STE 102",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161666",
            "telephone_number": "203-932-6481",
            "fax_number": "203-932-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 BOSTON POST RD STE 100",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374335",
            "telephone_number": "203-932-6481",
            "fax_number": "203-932-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARAKAN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "76890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevin.tharakan@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1591 Boston Post Rd Ste 100",
            "city": "Guilford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064374335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.