Leonid Karkanitsa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

043534 Issued in CT

Practice address

6580 Main St FL 1
Stratford, CT 06614

Phone

(203) 377-5444

Fax

(203) 377-5540

NPI assigned

Apr 7, 2006

Last updated

Jul 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
• Constellation Home Care Hospice, Norwalk, CT, CCN 071542
• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
• Civita Care Center at West River Nursing home, Milford, CT, CCN 075377
• Lord Chamberlain Nursing & Rehabilitation Center Nursing home, Stratford, CT, CCN 075339
• Lord Chamberlain Manor Nursing & Rehabilitation Ce Nursing home, Stratford, CT, CCN 075412

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lkarkanitsa3558@direct.ynhh.org

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.

• Internal Medicine of Dr.Karkanitsa, LLC

  • Internal Medicine Physician
  • Stratford, CT
  • NPI 1770881153
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BH West River LLC

  • Skilled Nursing Facility
  • Milford, CT
  • NPI 1669212817

  Nursing home

  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation
• Chamberlain Health Care Inc

  dba Lord Chamberlain Manor

  • Skilled Nursing Facility
  • Stratford, CT
  • NPI 1063411080

  Nursing home

  Care Compare affiliation
• Constellation Home Care LLC

  dba Constellation Hospice

  • Community Based Hospice Care Agency
  • Orange, CT
  • NPI 1417239088
  Care Compare affiliation
• Lord Chamberlain Inc.

  • Skilled Nursing Facility
  • Stratford, CT
  • NPI 1093714016

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1669435087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 MAIN ST FL 1",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141607",
            "telephone_number": "203-377-5444",
            "fax_number": "203-377-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 MAIN ST FL 1",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06614",
            "telephone_number": "203-377-5444",
            "fax_number": "203-377-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065171209",
            "country_code": "US",
            "telephone_number": "203-848-1083",
            "fax_number": "203-848-1777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6580 Main St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066141607",
            "country_code": "US",
            "telephone_number": "203-377-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARKANITSA",
        "first_name": "LEONID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D300080683",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C03462",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004256302",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Andrew Kangas, APRN
• Kapson Stratford Corp. (Stratford)
• Kardos Counseling LLC
• Margaret Rose Kardos, OTR
• Ariadni Karga, DDS
• Katherine and Partners
• Kathleen Carius, Aprn
• Kathleen P. Carius Aprn, LLC
• Azimuddin Kazi, MD
• Mary Kearney, PMHNP

• Internal Medicine Physician in Stratford, CT
• Providers in Stratford, 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 24, 2018; 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.

Verify at the official NPI Registry.