Active NPI
Himal Thakar, MD
- Hospitalist Physician
- Waterbury, CT
National Provider Identifier
1508874470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 046713
- Practice address
- 64 Robbins St
3Rd Floor
Waterbury, CT 06708-2613 - Phone
- (203) 573-6263
- Fax
- (203) 573-6030
- NPI assigned
- Aug 4, 2006
- Last updated
- Jun 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 2004033200 | MO | |
| Hospitalist Physician | 208M00000X | 046713 | CT | Primary |
Addresses
Primary practice location
64 Robbins St
3Rd Floor
Waterbury, CT 06708-2613
Mailing address
1625 Straits Tpke
Suite #201
Middlebury, CT 06762-1836
Phone (203) 573-9512
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198531 | Other | BLUE CROSS BLUE SHIELD | |
| 7614689 | Other | AETNA | |
| 207313305 | Medicaid | MO | |
| 704270 | Other | HEALTHLINK |
Other names 1
- Himal Lal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004033200 | MO | MD | Infectious Disease Physician |
| 046713 | CT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect CT Medical Foundation, Inc. | Hospitalist | Past | Accepting new patients |
| Alliance Medical Group, Inc | Infectious Disease | Past | Accepting new patients |
Interoperability endpoints
- hlal14713@middlesexhealthprd.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Middlebury, CT
- NPI 1316273071
Infectious Disease
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
Hospitalist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1508874470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 STRAITS TPKE",
"address_2": "SUITE #201",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621836",
"telephone_number": "203-573-9512",
"fax_number": "203-568-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 ROBBINS ST",
"address_2": "3RD FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082613",
"telephone_number": "203-573-6263",
"fax_number": "203-573-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKAR",
"first_name": "HIMAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MO",
"license": "2004033200",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "046713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "198531",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7614689",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207313305",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "704270",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HIMAL",
"last_name": "LAL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.