Active NPI
Svetlana Tikhomirova, MD
- Internal Medicine Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036826
- Practice address
- 100 Reserve Rd Ste A4
Danbury, CT 06810-5267 - Phone
- (203) 794-1979
- Fax
- (203) 794-1796
- NPI assigned
- Apr 27, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036826 | CT | Primary |
Addresses
Primary practice location
100 Reserve Rd Ste A4
Danbury, CT 06810-5267
Mailing address
100 Reserve Rd Ste A4
Danbury, CT 06810-5267
Phone (203) 794-1979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001368267 | Medicaid | CT |
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
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Reserve Rd
Suite A4
Danbury, CT 06810-5267
Phone (203) 794-1979
85 W St
Danbury, CT 06810-6528
Phone (203) 778-2437
Hospital & facility affiliations
- Western Connecticut Home Care Inc
- Rvnahealth
- Danbury Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036826 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Community Care, Inc | Current | Accepting new patients | |
| Prohealth Physicians PC | Internal Medicine | Current | Accepting new patients |
Locations
85 West St
Danbury, CT 06810
Phone (203) 778-2437
30 West St
Danbury, CT 06810
Phone (203) 778-2437
601 S Main St
Torrington, CT 06790
Phone (860) 453-0888
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- svetlana.tikhomirova.npi1689631467.phpct@direct.optumcare.masshiway.net
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Danbury, CT
- NPI 1982037602
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- Home Health Agency
- Ridgefield, CT
- NPI 1497758874
-
- Home Health Agency
- Danbury, CT
- NPI 1083677132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1689631467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RESERVE RD STE A4",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105267",
"telephone_number": "203-794-1979",
"fax_number": "203-794-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RESERVE RD STE A4",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105267",
"telephone_number": "203-794-1979",
"fax_number": "203-794-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIKHOMIROVA",
"first_name": "SVETLANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "036826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001368267",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.