NPIMap

Individual provider Active NPI

Arvind Suri

  • General Practice Physician
  • Waterbury, CT
National Provider Identifier
1780856252
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
046377 Issued in CT
Practice address
91 Schraffts Dr Ste 8
Waterbury, CT 06705-3271
Phone
(203) 465-6400
Fax
(860) 465-6500
NPI assigned
Mar 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 046377 CT Primary

Addresses

Primary practice location

91 Schraffts Dr Ste 8
Waterbury, CT 06705-3271

Mailing address

90 Park Place Cir
West Hartford, CT 06110-1426

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asuri45042@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
I20081023000354 CT Practitioner - Internal Medicine 3072671882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

91 Schraffts Dr
Suite 8
Waterbury, CT 06705-3271
Phone (203) 465-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046377CTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC CurrentSince Dec 1, 2019 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Dec 1, 2019 Accepting new patients
Prospect CT Medical Foundation, Inc. Past Accepting new patients
Neighborhood Health, Inc. General Practice Past Accepting new patients

Locations

133 Scovill St
Ste 101
Waterbury, CT 06706
Phone (203) 709-3850

2271 E Main St
Waterbury, CT 06705
Phone (203) 465-6400

91 Schraffts Dr
Ste 8
Waterbury, CT 06705
Phone (203) 465-6400

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

Interoperability endpoints

  • Direct secure messaging: arvind.suri.1@31712.direct.athenahealth.com

Organizations & group practices 4

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 6

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": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1780856252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PARK PLACE CIR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SCHRAFFTS DR STE 8",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053271",
            "telephone_number": "203-465-6400",
            "fax_number": "860-465-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURI",
        "first_name": "ARVIND",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "046377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asuri45042@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "91 Schraffts Dr Ste 8",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067053271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.