Active NPI
Sri M Balasuriyar, M.D
- Psychiatry Physician
- Newington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 033838
- Practice address
- VA Connecticut,555 Willard Ave
Newington, CT 06111 - Phone
- (860) 594-6345
- NPI assigned
- Sep 5, 2006
- Last updated
- Aug 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 033838 | CT | Primary |
Addresses
Primary practice location
VA Connecticut,555 Willard Ave
Newington, CT 06111
Mailing address
1000 Silver St
Middletown, CT 06457-3911
Phone (860) 262-5000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033838 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients |
Locations
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
500 Vine St
Hartford, CT 06112
Phone (860) 293-6400
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.
-
dba Connecticut Valley Hospital
- Psychiatric Hospital
- Middletown, CT
- NPI 1245256247
-
dba Capitol Region Mental Health Center
- Psychiatric Hospital
- Hartford, CT
- NPI 1487689022
-
dba Department of Veterans' Affairs, Veterans Home
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1467555714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SILVER ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573911",
"telephone_number": "860-262-5000",
"fax_number": "860-262-6561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA CONNECTICUT,555 WILLARD AVE",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "06111",
"telephone_number": "860-594-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALASURIYAR",
"first_name": "SRI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "033838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.