Organization Active NPI

True Care Medical Practice, Inc.

  • Nephrology Physician
  • Greenwich, CT
National Provider Identifier
1477799302
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
044975 Issued in CT
Legal business name
TRUE CARE MEDICAL PRACTICE, INC.
Practice address
49 Lake Ave
Suite 1B
Greenwich, CT 06830-4501
Phone
(203) 869-2304
Fax
(203) 869-7693
NPI assigned
Dec 24, 2008
Last updated
Dec 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Authorized official

Name
Dr. Nazanine Khairkhah, MDNPI 1518937622
Title
Physician
Phone
(203) 869-2304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 044975 CT Primary

Addresses

Primary practice location

49 Lake Ave
Suite 1B
Greenwich, CT 06830-4501

Mailing address

49 Lake Ave
Suite 1B
Greenwich, CT 06830-4501
Phone (203) 869-2304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090218000299 CT Part B Supplier - Clinic/Group Practice 3274698626 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT; Port Chester, NY; Greenwich, CT

National Provider Directory

National Provider Directory

Locations

49 Lake Ave
Ste 104
Greenwich, CT 06830
Phone (203) 869-2304

49 Lake Ave
Ste 1B
Greenwich, CT 06830
Phone (203) 869-2304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1477799302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "address_2": "SUITE 1B",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-869-2304",
            "fax_number": "203-869-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "address_2": "SUITE 1B",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-869-2304",
            "fax_number": "203-869-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE CARE MEDICAL PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "KHAIRKHAH",
        "authorized_official_first_name": "NAZANINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-869-2304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "044975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.