NPIMap

Individual provider Active NPI

Kawarjeet Singh

  • Family Medicine Physician
  • South Windsor, CT
National Provider Identifier
1780098541
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
289932 Issued in NY
Practice address
925 Sullivan Ave Ste 1
South Windsor, CT 06074-2080
Phone
(860) 644-1521
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 289932 NY Primary

Addresses

Primary practice location

925 Sullivan Ave Ste 1
South Windsor, CT 06074-2080

Mailing address

30 Jordan LN
Wethersfield, CT 06109-1278
Phone (860) 263-0253

Other practice location 1

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksingh430287@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918000983 CT Practitioner - Family Practice 1759652613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLean Fund 105 clinicians
Prime Healthcare, PC 67 clinicians

Practice addresses (Care Compare)

75 Great Pond Rd
Simsbury, CT 06070-1980

925 Sullivan Ave
Suite 1
South Windsor, CT 06074-2080
Phone (860) 644-1521

Hospital & facility affiliations

  • Trinity Health of New England at Home Home health agency, Hartford, CT, CCN 077005
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • McLean Home Care and Hospice Hospice, Simsbury, CT, CCN 071524
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Rockville General Hospital Hospital, Vernon, CT, CCN 070012
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • McLean Health Center Nursing home, Simsbury, CT, CCN 075216

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare (Sleep Lab) CurrentSince Nov 1, 2019 Accepting new patients
Prime Healthcare, PC CurrentSince Nov 1, 2019 Accepting new patients
Westbrook Medical Associates PC Past Accepting new patients

Locations

40 Dale Rd
Ste 202
Avon, CT 06001
Phone (203) 931-0034

54 W Avon Rd
Ste 101
Avon, CT 06001
Phone (860) 673-4534

15 Palomba Dr
Ste 13
Enfield, CT 06082
Phone (860) 749-2251

151 Hazard Ave
Ste 9
Enfield, CT 06082
Phone (413) 785-5321

925 Sullivan Ave
Ste 1
South Windsor, CT 06074
Phone (860) 644-1521

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: kawarjeet.singh.p1@direct.saintjosephs.nextgenshare.com
  • Direct secure messaging: kawarjeet.singh.1@31712.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McLean Health CenterSimsbury, CT, CCN 075216 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 31, 2024
Jul 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1780098541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LN",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091278",
            "telephone_number": "860-263-0253",
            "fax_number": "860-263-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SULLIVAN AVE STE 1",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742080",
            "telephone_number": "860-644-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014006",
            "country_code": "US",
            "telephone_number": "914-378-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KAWARJEET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "289932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksingh430287@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "PRIME HEALTHCARE DIRECT ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "925 Sullivan Ave Ste 1",
            "city": "South Windsor",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060742080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.