Individual provider Active NPI

Sai Charan Nagella

  • Internal Medicine Physician
  • Southington, CT
National Provider Identifier
1891374583
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78274 Issued in CT
Practice address
1115 West Street
Southington, CT 06489-6025
Phone
(860) 276-6090
Fax
(860) 679-6062
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 78274 CT Primary

Addresses

Primary practice location

1115 West Street
Southington, CT 06489-6025

Mailing address

1115 West Street
Southington, CT 06489-6025
Phone (860) 276-6090

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-4477

Other practice location 2

836 Hopmedow Street
Simsbury, CT 06070-1875
Phone (860) 276-6090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snagella9929@uconn.direct.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20251114002983 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5294270104

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-8082

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sai.nagella@xdr.hhchealthdirect.org

Organizations & group practices 1

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 2

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1891374583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEST STREET",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896025",
            "telephone_number": "860-276-6090",
            "fax_number": "860-679-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEST STREET",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896025",
            "telephone_number": "860-276-6090",
            "fax_number": "860-679-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060300001",
            "country_code": "US",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-1025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Hopmedow Street",
            "address_purpose": "LOCATION",
            "city": "Simsbury",
            "state": "CT",
            "postal_code": "060701875",
            "country_code": "US",
            "telephone_number": "860-276-6090",
            "fax_number": "860-276-6062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGELLA",
        "first_name": "SAI",
        "middle_name": "CHARAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "78274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snagella9929@uconn.direct.edu",
            "affiliation": "N",
            "address_1": "1115 West Street",
            "city": "Southington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064896025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.