NPIMap

Organization Active NPI

Patient Choice Medical Care LLC

  • Internal Medicine Physician
  • Hamden, CT
National Provider Identifier
1558715466
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PATIENT CHOICE MEDICAL CARE LLC
Practice address
2080 Whitney Ave
Suite 250
Hamden, CT 06518-3600
Phone
(203) 535-0262
Fax
(203) 535-0374
NPI assigned
Apr 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Garamuni Anura Desilva, MD
Title
Owner
Phone
(203) 535-0262

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 06556 CT

Addresses

Primary practice location

2080 Whitney Ave
Suite 250
Hamden, CT 06518-3600

Mailing address

PO Box 636
Guilford, CT 06437-0636
Phone (203) 535-0262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160708001044 CT Part B Supplier - Clinic/Group Practice 7911299128 Receives reassigned benefits from 14 practitioners
Practice locations: East Berlin, CT; Cheshire, CT; West Haven, CT; Hamden, CT

National Provider Directory

National Provider Directory

Locations

2080 Whitney Ave
Ste 250
Hamden, CT 06518
Phone (203) 535-0262

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1558715466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064370636",
            "telephone_number": "203-535-0262",
            "fax_number": "203-535-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WHITNEY AVE",
            "address_2": "SUITE 250",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183600",
            "telephone_number": "203-535-0262",
            "fax_number": "203-535-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CHOICE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-17",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "GARAMUNI",
        "authorized_official_middle_name": "ANURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-535-0262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "06556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.