Karthikeyan Kandavelou, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

53842 Issued in CT

Practice address

536 Saybrook Rd
Middletown, CT 06457-4783

Phone

(860) 358-2220

NPI assigned

Jun 12, 2009

Last updated

Apr 30, 2024By 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 2

Addresses

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

Hematology/Oncology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Connecticut Oncology Group, P.C.Group PAC ID 8426031949, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Health Care at Home & Hospice Program Hospice, Middletown, CT, CCN 071522
• Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Connecticut Oncology Group, PC

  • Family Nurse Practitioner
  • Middletown, CT
  • NPI 1376533588

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD

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

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1730316068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574783",
            "telephone_number": "860-358-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574783",
            "telephone_number": "860-358-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Flat Rock Pl",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "CT",
            "postal_code": "064983585",
            "country_code": "US",
            "telephone_number": "860-661-9000",
            "fax_number": "860-399-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDAVELOU",
        "first_name": "KARTHIKEYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "53842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice M Juliano, LCSW
• Avrey C. Juntilla-Smith, LMFT-A
• Just for Comfort Home Healthcare LLC
• Christopher George Kaczegowicz
• David B Kalayjian, MD
• Michael Kane, ND
• Lisa Karabelnik, MD
• Amy Kathlyn Karlberg, MS, CCC-SLP
• Katherine Chesanek LCSW LLC
• Jonathan Katz, DO

• Hematology & Oncology Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Hematology & Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.