Individual provider Active NPI

Veeresh Kumar Nanjangud Shivamurthy, M.D.,

  • Neurology Physician
  • Hartford, CT
National Provider Identifier
1871908871
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
64218 Issued in CT
Practice address
1000 Asylum Ave Ste 2112
Hartford, CT 06105-1719
Phone
(860) 522-3711
Fax
(860) 493-1885
NPI assigned
Jun 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 64218 CT
Epilepsy Hospital Unit 273100000X 64218 CT
Epilepsy Physician 2084E0001X 64218 CT
Neurology Physician 2084N0400X 64218 CT Primary

Addresses

Primary practice location

1000 Asylum Ave Ste 2112
Hartford, CT 06105-1719

Mailing address

1000 Asylum Ave Ste 4304
Hartford, CT 06105-1704
Phone (860) 522-3711

Other practice location 1

56 Franklin St
Waterbury, CT 06706-1253
Phone (860) 522-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200812002750 CT Practitioner - Neurology 5496171142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 Asylum Ave
Suite 4304
Hartford, CT 06105-1704
Phone (860) 522-3711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64218CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 3, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 3, 2020 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1000 Asylum Ave
Ste 2112
Hartford, CT 06105
Phone (860) 714-4749

1000 Asylum Ave
Ste 4304
Hartford, CT 06105
Phone (860) 522-3711

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

Interoperability endpoints

  • Direct secure messaging: vkumarnshivamurthy2389539@direct.trinity-health.org

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

Hospital & facility affiliations 7

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1871908871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 4304",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051704",
            "telephone_number": "860-522-3711",
            "fax_number": "860-493-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 2112",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051719",
            "telephone_number": "860-522-3711",
            "fax_number": "860-493-1885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067061253",
            "country_code": "US",
            "telephone_number": "860-522-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANJANGUD SHIVAMURTHY",
        "first_name": "VEERESH KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CT",
            "license": "64218",
            "primary": false
        },
        {
            "code": "273100000X",
            "taxonomy_group": "",
            "desc": "Epilepsy Unit",
            "state": "CT",
            "license": "64218",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "CT",
            "license": "64218",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "64218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.