NPIMap

Individual provider Active NPI

Anita Christina Chandrasekaran, MD, MPH

  • Rheumatology Physician
  • Waterford, CT
National Provider Identifier
1861870651
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
66609 Issued in CT
Practice address
196 Waterford Pkwy S Ste 201B
Waterford, CT 06385-1234
Phone
(860) 524-2610
Fax
(860) 524-2615
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 66609 CT Primary

Addresses

Primary practice location

196 Waterford Pkwy S Ste 201B
Waterford, CT 06385-1234

Mailing address

196 Waterford Pkwy S Ste 201B
Waterford, CT 06385-1234
Phone (860) 524-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA, MT, IA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200916002607 CT Practitioner - Rheumatology 7214282995 Reassigns benefits to 2 organizations
I20260108001172 CA Practitioner - RheumatologyPractitioner - Internal Medicine 7214282995 Reassigns benefits to 1 organization
I20260326002610 MT Practitioner - RheumatologyPractitioner - Internal Medicine 7214282995 Reassigns benefits to 1 organization
I20260522001073 IA Practitioner - Rheumatology 7214282995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Connecticut School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
St Peters HealthGroup PAC ID 7911814926, 206 clinicians
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians
Siskiyou Hospital IncGroup PAC ID 1254223134, shared by 2 NPIs, 96 clinicians

Practice addresses (Care Compare)

196 Pkwy S
Suite 201
Waterford, CT 06385
Phone (860) 425-5319

2550 E Broadway St
Helena, MT 59601-4905
Phone (406) 447-2828

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2020 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Oct 30, 2025 Accepting new patients
The William W Backus Hospital CurrentSince Sep 1, 2020 Accepting new patients
William W Backus Hospital CurrentSince Sep 1, 2020 Accepting new patients
Tele-Medicine Services Ny, PLLC Internal Medicine PastSince Apr 27, 2025 Accepting new patients

Locations

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

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

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

111 Salem Tpke
Norwich, CT 06360
Phone (860) 425-5900

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

196 Parkway S
Ste 201
Waterford, CT 06385
Phone (860) 440-0688

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: anita.chandrasekaran@xdr.hhchealthdirect.org

Organizations & group practices 8

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 12

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1861870651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 WATERFORD PKWY S STE 201B",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-524-2610",
            "fax_number": "860-524-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WATERFORD PKWY S STE 201B",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-524-2610",
            "fax_number": "860-524-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKARAN",
        "first_name": "ANITA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "66609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.