NPIMap

Individual provider Active NPI

Sharad Sathyan, M.D

  • Nephrology Physician
  • Bloomfield, CT
National Provider Identifier
1508065681
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
56823 Issued in CT
Practice address
35 Jolley Dr Ste 203
Bloomfield, CT 06002-4228
Phone
(860) 769-9866
Fax
(860) 769-7300
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2013018911 MO
Nephrology Physician 207RN0300X 284652 NY
Nephrology Physician 207RN0300X 56823 CT Primary

Addresses

Primary practice location

35 Jolley Dr Ste 203
Bloomfield, CT 06002-4228

Mailing address

35 Jolley Dr Ste 203
Bloomfield, CT 06002-4228
Phone (860) 769-9866

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssathyan324597@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117000974 CT Practitioner - NephrologyPractitioner - Internal Medicine 9032353677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Hartford Nephrology LLCGroup PAC ID 5991772212, 8 clinicians

Practice addresses (Care Compare)

35 Jolley Dr
Suite 203
Bloomfield, CT 06002-4228
Phone (860) 769-9866

Hospital & facility affiliations

  • DaVita Bloomfield Dialysis Dialysis facility, Bloomfield, CT, CCN 072528
  • DaVita PDI Rocky Hill Dialysis facility, Rocky Hill, CT, CCN 072518
  • DaVita Hartford Dialysis Dialysis facility, Hartford, CT, CCN 072516
  • FMC East Hartford Dialysis Center Dialysis facility, East Hartford, CT, CCN 072509
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013018911MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Nephrology, LLC Nephrology CurrentSince Nov 15, 2017 Accepting new patients
Amin Nephrology and Hypertension Specialists, Inc Nephrology PastSince Sep 1, 2006 Accepting new patients

Locations

35 Jolley Dr
Ste 203
Bloomfield, CT 06002
Phone (860) 769-7302

506 Cromwell Ave
Ste 101
Rocky Hill, CT 06067
Phone (860) 522-1171

Interoperability endpoints

  • Direct secure messaging: sharad.sathyan@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEFGAA
  • Direct secure messaging: ssathyan2388607@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1508065681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR STE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024228",
            "telephone_number": "860-769-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR STE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024228",
            "telephone_number": "860-769-9866",
            "fax_number": "860-769-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHYAN",
        "first_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-09-19",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2013018911",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "284652",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "56823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssathyan324597@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "35 Jolley Dr Ste 203",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060024228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.