Individual provider Active NPI

Kishor G Lathi, MD

  • Anesthesiology Physician
  • Stamford, CT
National Provider Identifier
1487641601
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
044999 Issued in CT
Practice address
1055 Washington Blvd
Suite 440
Stamford, CT 06901-2216
Phone
(203) 348-2614
Fax
(203) 325-8677
NPI assigned
Oct 3, 2005
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 044999 CT Primary

Addresses

Primary practice location

1055 Washington Blvd
Suite 440
Stamford, CT 06901-2216

Mailing address

45 Secor Rd
Scarsdale, NY 10583-7224
Phone (914) 713-4130

Other identifiers 1

IdentifierTypeStateIssuer
0190586MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044999CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas Medical Group, Inc. Past Accepting new patients
Christine E Barrett & Heathcliff Quioco PTR Past Accepting new patients
Stamford Anesthesiology Services, PC Anesthesiology PastSince Aug 1, 2005 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Gotham Medical Services Anesthesiology Past Accepting new patients
Christine E Barrett MD Past Accepting new patients

Organizations & group practices 6

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": "1185753600000",
    "number": "1487641601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SECOR RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837224",
            "telephone_number": "914-713-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WASHINGTON BLVD",
            "address_2": "SUITE 440",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012216",
            "telephone_number": "203-348-2614",
            "fax_number": "203-325-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHI",
        "first_name": "KISHOR",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "044999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190586",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.