NPIMap

Individual provider Active NPI

Renu Bazaz-Kapoor, DO

  • Internal Medicine Physician
  • Hamden, CT
National Provider Identifier
1427045954
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041924 Issued in CT
Practice address
2200 Whitney Ave
Suite 100
Hamden, CT 06518-3691
Phone
(203) 407-6410
Fax
(203) 407-6433
NPI assigned
Sep 30, 2005
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 041924 CT Primary

Addresses

Primary practice location

2200 Whitney Ave
Suite 100
Hamden, CT 06518-3691

Mailing address

2200 Whitney Ave
Suite 100
Hamden, CT 06518-3691
Phone (203) 407-6410

Other identifiers 1

IdentifierTypeStateIssuer
001419242MedicaidCT

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
I20040319000509 CT Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 3678463841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice and Internal Medicine, LLCGroup PAC ID 5991894123, 9 clinicians

Practice addresses (Care Compare)

52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Phone (203) 672-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Internal Medicine, LLC Internal Medicine CurrentSince Mar 1, 2008 Accepting new patients
Family Practice & Internal Medicine of Spring Gren LLC Internal Medicine Past Accepting new patients
Life Choice Hospice of Connecticut LLC PastSince Oct 1, 2021 Accepting new patients

Locations

2200 Whitney Ave
Ste 100
Hamden, CT 06518
Phone (203) 234-1993

451 State St
North Haven, CT 06473
Phone (203) 248-8888

52 Washington Ave
#4
North Haven, CT 06473
Phone (203) 672-2800

52 Washington Ave
Ste 4
North Haven, CT 06473
Phone (203) 672-2800

Interoperability endpoints

  • Direct secure messaging: renu.bazazkapoor@caremedica.eclinicaldirectplus.com

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1427045954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 100",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-407-6410",
            "fax_number": "203-407-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 100",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-407-6410",
            "fax_number": "203-407-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAZ-KAPOOR",
        "first_name": "RENU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "041924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001419242",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.