Individual provider Active NPI

Jay D Kenkare, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Farmington, CT
National Provider Identifier
1619940996
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
043501 Issued in CT
Practice address
505 Farmington Ave
Farmington, CT 06032-1901
Phone
(860) 837-6643
NPI assigned
Feb 8, 2006
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 043501 CT
Hospitalist Physician 208M00000X 043501 CT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 043501 CT Primary

Addresses

Primary practice location

505 Farmington Ave
Farmington, CT 06032-1901

Mailing address

1625 Straits Tpke
Suite #301
Middlebury, CT 06762-1836
Phone (203) 573-9512

Other practice location 1

1625 Straits Tpke
Suite #305
Middlebury, CT 06762-1836
Phone (203) 598-7399

Other identifiers 1

IdentifierTypeStateIssuer
001435016MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkenkare14376@connecticutchildrens.direct-ci.com

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
I20050930000207 CT Practitioner - Sleep Medicine 5991730731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Charlotte Hungerford HospitalGroup PAC ID 4486557501, 206 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-6600

18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043501CTMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Uconn Health Community Network Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2026 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Sep 1, 2013 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Dec 1, 2014 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Dec 1, 2014 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Connecticut Children's Medical Center Past Accepting new patients
Alliance Medical Group of Greater Waterbury PC Internal Medicine PastSince Jan 1, 2010 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

105 Newtown Rd
#A
Danbury, CT 06810
Phone (860) 545-9395

505 Farmington Ave
Farmington, CT 06032
Phone (860) 837-6700

505 Farmington Ave
Fl 1
Farmington, CT 06032

676 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-0629

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

85 Seymour St
Ste 500
Hartford, CT 06106
Phone (860) 545-9370

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

1625 Straits Tpke
Ste 211
Middlebury, CT 06762
Phone (203) 573-9512

1625 Straits Tpke
Ste 301
Middlebury, CT 06762
Phone (203) 573-7281

1625 Straits Tpke
Ste 302
Middlebury, CT 06762
Phone (203) 759-0666

1625 Straits Tpke
Ste 305
Middlebury, CT 06762
Phone (203) 598-7399

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

191 Post Rd W
#1
Westport, CT 06880

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

Interoperability endpoints

  • Direct secure messaging: jay.kenkare@xdr.hhchealthdirect.org
  • Direct secure messaging: jaykenkare@amggw.allscriptsdirect.net
  • Direct secure messaging: jkenkare14376@connecticutchildrens.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1619940996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STRAITS TPKE",
            "address_2": "SUITE #301",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621836",
            "telephone_number": "203-573-9512",
            "fax_number": "203-568-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321901",
            "telephone_number": "860-837-6643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Straits Tpke",
            "address_2": "Suite #305",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067621836",
            "country_code": "US",
            "telephone_number": "203-598-7399",
            "fax_number": "203-577-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENKARE",
        "first_name": "JAY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043501",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "043501",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CT",
            "license": "043501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001435016",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkenkare14376@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "505 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060321901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.