Active NPI
Kishor G Lathi, MD
- Anesthesiology Physician
- Stamford, CT
National Provider Identifier
1487641601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 044999
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0190586 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 044999 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Christine E Barrett & Heathcliff Quioco PTR | Past | Accepting new patients | |
| Stamford Anesthesiology Services, PC | Anesthesiology | Past | 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.
-
- Anesthesiology Physician
- Stamford, CT
- NPI 1750716601
-
- Anesthesiology Physician
- Stamford, CT
- NPI 1376608448
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Surgery Physician
- Rocky Mount, VA
- NPI 1275610636
-
- Surgery Physician
- Rocky Mount, VA
- NPI 1942444062
-
- Specialist
- Watertown, MA
- NPI 1629398219
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.