Individual provider Active NPI

Parnian Kiamanesh, M.D.

  • Family Medicine Physician
  • Shelton, CT
National Provider Identifier
1598052946
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66923 Issued in CT
Practice address
110 Commerce Dr
Shelton, CT 06484-6244
Phone
(203) 929-7331
Fax
(203) 925-0330
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66923 CT Primary

Addresses

Primary practice location

110 Commerce Dr
Shelton, CT 06484-6244

Mailing address

110 Commerce Dr
Shelton, CT 06484-6244
Phone (203) 929-7331

Other practice location 1

40 Dale Rd Ste 202
Avon, CT 06001-3692
Phone (860) 200-7040

Other practice location 2

764 Campbell Ave Ste E
West Haven, CT 06516-3786
Phone (203) 397-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150729009162 NY Practitioner - Family Practice 2264746676 Reassigns benefits to 2 organizations
I20210318000370 CT Practitioner - Family Practice 2264746676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine of West Haven LLCGroup PAC ID 3476567892, 5 clinicians

Practice addresses (Care Compare)

764 Campbell Ave
Suite E
West Haven, CT 06516-3786
Phone (203) 931-0034

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275912NYMDLicensed Practical Nurse
66923CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of West Haven LLC CurrentSince Jan 1, 2024 Accepting new patients
Griffin Faculty Physicians, Inc. CurrentSince Apr 1, 2021 Accepting new patients
City Care Family Practice, P.C. Family Medicine CurrentSince Jun 19, 2015 Accepting new patients
Ismail Ozcan MD PC Family Medicine CurrentSince May 5, 2018 Accepting new patients
The Griffin Hospital PastSince Mar 16, 2021 Accepting new patients

Locations

40 Dale Rd
Ste 202
Avon, CT 06001
Phone (203) 931-0034

130 Division St
Derby, CT 06418
Phone (203) 732-1330

67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699

110 Commerce Dr
Shelton, CT 06484
Phone (203) 426-5554

764 Campbell Ave
West Haven, CT 06516
Phone (203) 901-0424

764 Campbell Ave
Ste E
West Haven, CT 06516
Phone (203) 931-0034

461 Park Ave S
Fl 9
New York, NY 10016
Phone (212) 545-1888

122 Portion Rd
Ronkonkoma, NY 11779
Phone (631) 588-6665

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGDFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDDAD

Organizations & group practices 5

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 2

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1598052946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COMMERCE DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846244",
            "telephone_number": "203-929-7331",
            "fax_number": "203-925-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COMMERCE DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846244",
            "telephone_number": "203-929-7331",
            "fax_number": "203-925-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Dale Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013692",
            "country_code": "US",
            "telephone_number": "860-200-7040",
            "fax_number": "860-329-4655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "764 Campbell Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "West Haven",
            "state": "CT",
            "postal_code": "065163786",
            "country_code": "US",
            "telephone_number": "203-397-2227",
            "fax_number": "203-389-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIAMANESH",
        "first_name": "PARNIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "66923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.