Individual provider Active NPI

Sujata Kale, M.D/PH.D/FACP

  • Nephrology Physician
  • Cheshire, CT
National Provider Identifier
1386805299
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
051887 Issued in CT
Practice address
411 Robin CT
Cheshire, CT 06410-2427
Phone
(203) 214-2528
Fax
(203) 214-2528
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 051887 CT Primary

Addresses

Primary practice location

411 Robin CT
Cheshire, CT 06410-2427

Mailing address

411 Robin CT
Cheshire, CT 06410-2427
Phone (203) 439-0153

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
I20130923000642 CT Practitioner - Internal Medicine 3173767613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaylord Hospital, Inc.Group PAC ID 1153224191, 39 clinicians

Practice addresses (Care Compare)

50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 284-2800

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
63.07
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051887CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC CurrentSince Apr 16, 2014 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC CurrentSince Oct 1, 2015 Accepting new patients
Ipc Hospitalists of New England, P.C. CurrentSince Apr 16, 2014 Accepting new patients
Ipc Hospitalists of New England, P.C. Current Accepting new patients
Gaylord Hospital, Inc. CurrentSince Sep 1, 2016 Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1386805299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ROBIN CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102427",
            "telephone_number": "203-439-0153",
            "fax_number": "203-439-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ROBIN CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102427",
            "telephone_number": "203-214-2528",
            "fax_number": "203-214-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALE",
        "first_name": "SUJATA",
        "name_prefix": "Dr.",
        "credential": "M.D/PH.D/FACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "051887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.