Individual provider Active NPI

Radhika Jasthi, MD

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1457369944
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040159 Issued in CT
Practice address
80 Mill River Street
Suite 2200
Stamford, CT 06902
Phone
(203) 487-6177
Fax
(203) 487-6178
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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 040159 CT Primary

Addresses

Primary practice location

80 Mill River Street
Suite 2200
Stamford, CT 06902

Mailing address

80 Mill River Street
Suite 2200
Stamford, CT 06902
Phone (203) 487-6177

Other identifiers 1

IdentifierTypeStateIssuer
001401596MedicaidCT

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
I20040331000519 CT Practitioner - Internal Medicine 3072505049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

80 Mill River St
Suite 2200
Stamford, CT 06902-3756
Phone (203) 487-6177

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radhika Jasthi MD LLC Internal Medicine CurrentSince Aug 1, 2003 Accepting new patients
Thrive Counseling LLC PastSince Aug 1, 2003 Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients
Vpa PC Internal Medicine Past Accepting new patients
Darien Immediate Medical Care LLC PastSince May 4, 2017 Accepting new patients
State of Michigan Office of Financial Management PastSince Sep 24, 2023 Accepting new patients
Vpa PC Internal Medicine Past Accepting new patients

Locations

29 Hospital Plz
Ste 490
Stamford, CT 06902

80 Mill River St
Ste 2200
Stamford, CT 06902
Phone (203) 487-6177

Interoperability endpoints

  • Direct secure messaging: rjasthi24713@stamfordhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1457369944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MILL RIVER STREET",
            "address_2": "SUITE 2200",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-487-6177",
            "fax_number": "203-487-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MILL RIVER STREET",
            "address_2": "SUITE 2200",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-487-6177",
            "fax_number": "203-487-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTHI",
        "first_name": "RADHIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001401596",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.