Individual provider Active NPI

Ritu S Meda, PA-C

  • Physician Assistant
  • West Hartford, CT
National Provider Identifier
1780150458
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4288 Issued in CT
Practice address
785 Farmington Avenue
West Hartford, CT 06119-1673
Phone
(860) 523-4100
Fax
(860) 523-1462
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 4288 CT Primary

Addresses

Primary practice location

785 Farmington Avenue
West Hartford, CT 06119-1673

Mailing address

785 Farmington Avenue
West Hartford, CT 06119-1673
Phone (860) 523-4100

Other names 1

  • Ritu Sharma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Pediatric Partners, Inc Past Accepting new patients
West Hartford Pediatrics, LLC PastSince Sep 15, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1780150458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 FARMINGTON AVENUE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191673",
            "telephone_number": "860-523-4100",
            "fax_number": "860-523-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 FARMINGTON AVENUE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191673",
            "telephone_number": "860-523-4100",
            "fax_number": "860-523-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDA",
        "first_name": "RITU",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITU",
            "last_name": "SHARMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.