Individual provider Active NPI

Amy Phiroz Darukhanavala, MD

  • Pediatric Endocrinology Physician
  • New Haven, CT
National Provider Identifier
1760632285
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
79698 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(208) 688-4242
NPI assigned
Sep 20, 2008
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 14359 NV
Pediatric Endocrinology Physician 2080P0205X 79698 CT Primary
Pediatric Endocrinology Physician 2080P0205X 269277 MA

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

7 Farnham Way
Farmington, CT 06032-1564

Other identifiers 1

IdentifierTypeStateIssuer
110120201AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170327001987 MA Practitioner - Pediatric MedicinePractitioner - Endocrinology 5991860017
I20250225002698 CT Practitioner - Pediatric Medicine 5991860017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14359NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jan 13, 2025 Accepting new patients
Yale University Current Accepting new patients
Yale University CurrentSince Jan 13, 2025 Accepting new patients

Locations

1 Long Wharf Dr
Ste 503
New Haven, CT 06511
Phone (203) 764-9199

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Interoperability endpoints

  • Direct secure messaging: adarukhanavala701488@direct.ynhh.org
  • Direct secure messaging: amy.darukhanavala.npi1760632285.reliant@direct.optumcare.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1760632285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FARNHAM WAY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "208-688-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARUKHANAVALA",
        "first_name": "AMY",
        "middle_name": "PHIROZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-20",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NV",
            "license": "14359",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CT",
            "license": "79698",
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MA",
            "license": "269277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120201A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.