Individual provider Active NPI

Parimal Deodhar, M.D.

  • Pediatrics Physician
  • New Haven, CT
National Provider Identifier
1538429014
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
054048 Issued in CT
Practice address
20 York St # T-209
Yale New Haven Hospital
New Haven, CT 06510-3220
Phone
(203) 688-2259
Fax
(203) 688-5599
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 054048 CT Primary

Addresses

Primary practice location

20 York St # T-209
Yale New Haven Hospital
New Haven, CT 06510-3220

Mailing address

20 York St # T-209
Yale New Haven Hospital
New Haven, CT 06510-3220
Phone (203) 688-2259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620000436 WA Practitioner - Pediatric Medicine 1850605064 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054048CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Pediatrics CurrentSince Jun 5, 2023 Accepting new patients
Seattle Childrens Hospital CurrentSince May 25, 2016 Accepting new patients
Seattle Children'S Hospital Current Accepting new patients
Seattle Children'S Hospital Past Accepting new patients
Swedish Health Services Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: pdeodhar36977@direct.seattlechildrens.org
  • Direct secure messaging: pdeodhar612703@wm.providencedirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1538429014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST # T-209",
            "address_2": "YALE NEW HAVEN HOSPITAL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2259",
            "fax_number": "203-688-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST # T-209",
            "address_2": "YALE NEW HAVEN HOSPITAL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2259",
            "fax_number": "203-688-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEODHAR",
        "first_name": "PARIMAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "054048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.