Active NPI
Vasundara Tummala, M.D.
- Obstetrics & Gynecology Physician
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 047836
- Practice address
- 120 Connecticut Ave
Norwalk, CT 06854-1525 - Phone
- (203) 899-1770
- Fax
- (203) 852-3982
- NPI assigned
- Sep 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 047836 | CT | Primary |
Addresses
Primary practice location
120 Connecticut Ave
Norwalk, CT 06854-1525
Mailing address
16 Cranbury Rd
Westport, CT 06880-1814
Phone (678) 521-0478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035774 | Other | CT | CT SUBSTANCE REGISTRATION |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Georgia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047836 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Community Health Center Inc | Current | Accepting new patients | |
| Optimus Health Care | Current | Accepting new patients | |
| Optimus Health Care Inc | Current | Accepting new patients |
Locations
64 Black Rock Ave
Bridgeport, CT 06605
Phone (203) 579-5000
982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260
471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864
57 Fillow St
Norwalk, CT 06850
120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000
1 Park St
Norwalk, CT 06851
Phone (203) 212-6533
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDGCD
- vasundara.tummala.1@10170.direct.athenahealth.com
- vasundara.tummala@nchc1.eclinicaldirectplus.com
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.
-
- Health Service Clinic/Center
- Norwalk, CT
- NPI 1841226347
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Federally Qualified Health Center (FQHC)
- Stamford, CT
- NPI 1942574082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1659604528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CRANBURY RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068801814",
"telephone_number": "678-521-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CONNECTICUT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541525",
"telephone_number": "203-899-1770",
"fax_number": "203-852-3982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMMALA",
"first_name": "VASUNDARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "047836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT SUBSTANCE REGISTRATION",
"identifier": "0035774",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.