Active NPI
Maria M Messina, MD
- Anesthesiology Physician
- Hamden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 047790
- Practice address
- 2200 Whitney Ave
Hamden, CT 06518-3691 - Phone
- (203) 281-3636
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 249036 | NY | |
| Anesthesiology Physician | 207L00000X | 047790 | CT | Primary |
| Anesthesiology Physician | 207L00000X | 25MA08421600 | NJ |
Addresses
Primary practice location
2200 Whitney Ave
Hamden, CT 06518-3691
Mailing address
11781 Lee Jackson Memorial Hwy Ste 550
Fairfax, VA 22033-3336
Phone (571) 777-5164
Other names 1
- Dr. Maria Mundanthanam
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047790 | CT | MD | Anesthesiology Physician |
| 25MA08421600 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Endoscopy Center of Connecticut, LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Anesthesiology | Current | Accepting new patients |
| Connecticut Gi PLLC | Current | Accepting new patients | |
| Endoscopy Center of Connecticut, LLC | Current | Accepting new patients | |
| Anesthesia Group of Albany, PC | Anesthesiology | Past | Accepting new patients |
Locations
2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
Interoperability endpoints
- mariam.messina@xdr.hhchealthdirect.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.
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Endoscopy Clinic/Center
- Hamden, CT
- NPI 1386757854
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
-
- Endoscopy Clinic/Center
- Guilford, CT
- NPI 1326131418
-
- Anesthesiology Physician
- Albany, NY
- NPI 1598700379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1598906240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY STE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333336",
"telephone_number": "571-777-5164",
"fax_number": "703-890-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691",
"telephone_number": "203-281-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSINA",
"first_name": "MARIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "249036",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "047790",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08421600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "MUNDANTHANAM",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.