Individual provider Active NPI

Shruti Kumar

  • Adult Medicine Physician
  • North Haven, CT
National Provider Identifier
1558773531
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
61574 Issued in CT
Practice address
4A Devine St
North Haven, CT 06473-2142
Phone
(202) 843-9010
Fax
(860) 295-9734
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 61574 CT Primary

Addresses

Primary practice location

4A Devine St
North Haven, CT 06473-2142

Mailing address

4A Devine St
North Haven, CT 06473-2142
Phone (203) 843-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20191016000298 CT Practitioner - Family Practice 8820214083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

4 A Devine St
North Haven, CT 06473-2142
Phone (203) 288-9650

Hospital & facility affiliations

  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Visiting Nurse Services, Inc of So CT Home health agency, Hamden, CT, CCN 077225
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Gaylord Hospital Inc Long-term care hospital, Wallingford, CT, CCN 072003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Family Medicine CurrentSince Aug 12, 2019 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Mar 3, 2025 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Mar 3, 2025 Accepting new patients

Locations

14 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 295-8217

4 Devine St
#A
North Haven, CT 06473
Phone (203) 287-6900

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: skumar181023@direct.ynhh.org
  • Direct secure messaging: shruti.kumar.npi1558773531.phpct@direct.optumcare.masshiway.net

Organizations & group practices 3

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 6

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1558773531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4A DEVINE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732142",
            "telephone_number": "203-843-9010",
            "fax_number": "860-295-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4A DEVINE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732142",
            "telephone_number": "202-843-9010",
            "fax_number": "860-295-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SHRUTI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CT",
            "license": "61574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.