Medical Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

034989 Issued in CT

Legal business name

MEDICAL ASSOCIATES, LLC

Practice address

22 Westfield Ave
Ansonia, CT 06401-1158

Phone

(203) 888-9340

Fax

(203) 888-9649

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Madhu Siddaveere Gowda, M. D.NPI 1104856921

Title

Single Member Provider

Phone

(203) 888-9340

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madhu Siddaveere Gowda, M.D.

  • Pulmonary Disease Physician
  • Seymour, CT
  • NPI 1104856921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1578871703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FARM HILL RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772335",
            "telephone_number": "203-888-9340",
            "fax_number": "203-888-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WESTFIELD AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011158",
            "telephone_number": "203-888-9340",
            "fax_number": "203-888-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "SIDDAVEERE",
        "authorized_official_title_or_position": "SINGLE MEMBER PROVIDER",
        "authorized_official_telephone_number": "203-888-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "034989",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "034989",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "034989",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CT",
            "license": "034989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001349895",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER FOR MADHU GOWDA WHO IS A SINGLE MEMBER OF THIS LLC",
            "identifier": "110008027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall S. Greenberg, D.M.D., P.C.
• Magdalen S Mauriello, MD
• John C McGann, LCSW
• Scott Arnold McIntyre, APRN
• Shelia McLaughlin
• Emily R Medina, LCSW
• Marjorie Merzier, MSW
• Doreen Geralyn Metzler, LPC, LMFT
• Amy J Miklos, PA-C
• David D Millen, DMD

• Internal Medicine Physician in Ansonia, CT
• Providers in Ansonia, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.