Individual provider Active NPI

Shrikant R Deshpande, MD, MPH

  • Emergency Medicine Physician
  • Groton, CT
National Provider Identifier
1891927455
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
019752 Issued in CT
Practice address
52 Hazelnut Hill Rd
52 Hazelnut Hill Road
Groton, CT 06340-3268
Phone
(860) 446-8265
Fax
(860) 448-6961
NPI assigned
Aug 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 019752 CT
Emergency Medicine Physician 207P00000X 019752 CT Primary

Addresses

Primary practice location

52 Hazelnut Hill Rd
52 Hazelnut Hill Road
Groton, CT 06340-3268

Mailing address

52 Hazelnut Hill Rd
Groton, CT 06340-3268
Phone (860) 446-8265

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019752CTMDOccupational Medicine Physician
19752CTMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Connecticut, LLC Emergency Medicine 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1891927455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HAZELNUT HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403268",
            "telephone_number": "860-446-8265",
            "fax_number": "860-448-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HAZELNUT HILL RD",
            "address_2": "52 HAZELNUT HILL ROAD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403268",
            "telephone_number": "860-446-8265",
            "fax_number": "860-448-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "SHRIKANT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "019752",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "019752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.