Individual provider Active NPI

Parveen Khanna, MD

  • Cardiovascular Disease Physician
  • Manchester, CT
National Provider Identifier
1881689727
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
028532 Issued in CT
Practice address
43 W Middle Tpke
Manchester, CT 06040-4057
Phone
(860) 647-9494
Fax
(860) 646-4892
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 028532 CT Primary

Addresses

Primary practice location

43 W Middle Tpke
Manchester, CT 06040-4057

Mailing address

43 W Middle Tpke
Manchester, CT 06040-4057
Phone (860) 647-9494

Other identifiers 1

IdentifierTypeStateIssuer
001285320MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkhanna40350@direct.stfranciscare.org Direct

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
I20101110001048 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Sleep Medicine 1355430687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Sleep Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Connecticut Cardiology Associates LLCGroup PAC ID 3577652205, 4 clinicians

Practice addresses (Care Compare)

43 Middle Tpke W
Manchester, CT 06040-4057
Phone (860) 647-9494

43 Middle W Tpke
Manchester, CT 06040-4057

Hospital & facility affiliations

  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Connecticut Cardiology Associates LLC Cardiovascular Disease CurrentSince Jan 1, 2000 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Sep 1, 2016 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

153 Main St
Ste 15
Manchester, CT 06042
Phone (860) 646-9929

43 Middle Tpke W
Manchester, CT 06040
Phone (860) 647-9494

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

Interoperability endpoints

  • Direct secure messaging: pkhanna2387942@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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1881689727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W MIDDLE TPKE",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404057",
            "telephone_number": "860-647-9494",
            "fax_number": "860-646-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W MIDDLE TPKE",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404057",
            "telephone_number": "860-647-9494",
            "fax_number": "860-646-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "PARVEEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "028532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001285320",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkhanna40350@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Eastern CT Cardiology Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "43 W Middle Tpke",
            "city": "Manchester",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060404057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.