Kanwardeep S Arora, MD
Individual provider Active NPI Internal Medicine Physician · Derby, CT
NPI 1508026428 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1508026428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 51094 (CT)
- Practice address
- 130 Division St
Derby, CT 06418-1326 - Phone
- (203) 732-1330
- Fax
- (203) 732-1332
- NPI assigned
- Jun 13, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prospect CT Medical Foundation Inc
Practice addresses (Care Compare)
18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557
Hospital & facility affiliations
- Waterbury Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151026000616 | CT | Practitioner - Internal Medicine | 4486728516 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaylord Hospital, Inc. | Current |
Accepting new patients | |
| Griffin Faculty Physicians, Inc. | Internal Medicine | Current |
Accepting new patients |
| Prospect CT Medical Foundation, Inc. | Internal Medicine | Current |
Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
130 Division St
Derby, CT 06418
Phone (203) 732-1330
67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512
1625 Straits Tpke
Middlebury, CT 06762
Phone (203) 573-9512
50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
160 Robbins St
Waterbury, CT 06708
Phone (203) 573-7284
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51094 | CT | Yes |
Addresses
Primary practice location
130 Division St
Derby, CT 06418-1326
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-1330
Other providers in Derby, CT
- Margaret King Anderson
- David Andrejecsk
- Anesthesia Associates of New Haven
- Silvana Stefania Ardila
- Olugbenga Arole
- Edinen Santhus Asuka
- Bahar Ataeinia
- Athena Counseling Services, LLC
- Ashlyn Augustine
- Pamela Austin
All providers in Derby, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.