Individual provider Active NPI

Setu K Vora, MD

  • Internal Medicine Physician
  • Norwich, CT
National Provider Identifier
1437146776
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42770 Issued in CT
Practice address
12 Case St Ste 204
Norwich, CT 06360
Phone
(860) 319-0470
Fax
(860) 319-0398
NPI assigned
Oct 3, 2005
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42770 CT Primary
Pulmonary Disease Physician 207RP1001X 042770 CT

Addresses

Primary practice location

12 Case St Ste 204
Norwich, CT 06360

Mailing address

12 Harvest GLN
East Lyme, CT 06333-1556
Phone (860) 319-0470

Other practice location 1

330 Washington St
Ste 430
Norwich, CT 06360-2700
Phone (860) 886-1862

Other identifiers 6

IdentifierTypeStateIssuer
042770OtherNORTHEAST HEALTH DIRECT
290000408OtherMEDICARE OF CONNECTICUT
042770OtherCONNECTICARE
001427708OtherMEDICAID OF CONNECTICUT
001427708MedicaidCT
010042770CT01OtherBLUE SHIELD OF CONNECTICU

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
I20050701000368 CT Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7315983103 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042770CTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital Current Accepting new patients
The William W Backus Hospital Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
William W Backus Hospital CurrentSince Mar 1, 2019 Accepting new patients
Carina Vero Vora, DDS LLP Past Accepting new patients
Healthquasar, LLC Pulmonary Disease Past Accepting new patients

Locations

12 Case St
Ste 204
Norwich, CT 06360
Phone (860) 319-0470

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

330 Washington St
Ste 430
Norwich, CT 06360
Phone (860) 886-1862

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1437146776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HARVEST GLN",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331556",
            "telephone_number": "860-319-0470",
            "fax_number": "860-319-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CASE ST STE 204",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "860-319-0470",
            "fax_number": "860-319-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Washington St",
            "address_2": "Ste 430",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602700",
            "country_code": "US",
            "telephone_number": "860-886-1862",
            "fax_number": "860-886-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VORA",
        "first_name": "SETU",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "42770",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "042770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST HEALTH DIRECT",
            "identifier": "042770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF CONNECTICUT",
            "identifier": "290000408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "042770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF CONNECTICUT",
            "identifier": "001427708",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001427708",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CONNECTICU",
            "identifier": "010042770CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.