Individual provider Active NPI

Ljudmil Kljusev, M.D.

  • Psychiatry Physician
  • Milford, CT
National Provider Identifier
1891869566
Registry record updated Aug 29, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Aug 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
039302 Issued in CT
Practice address
227 Naugatuck Avenue
Milford, CT 06460-5540
Phone
(203) 693-3500
Fax
(203) 693-3501
NPI assigned
Nov 17, 2006
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 039302 CT Primary

Addresses

Primary practice location

227 Naugatuck Avenue
Milford, CT 06460-5540

Mailing address

227 Naugatuck Avenue
Milford, CT 06460-5540
Phone (203) 693-3500

Other identifiers 1

IdentifierTypeStateIssuer
1393024MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039302CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ljudmil Kljusev MD, LLC Past Accepting new patients

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1891869566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 NAUGATUCK AVENUE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605540",
            "telephone_number": "203-693-3500",
            "fax_number": "203-693-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 NAUGATUCK AVENUE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605540",
            "telephone_number": "203-693-3500",
            "fax_number": "203-693-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLJUSEV",
        "first_name": "LJUDMIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "039302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393024",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.