Active NPI
Sunil K Yerragondu
- Internal Medicine Physician
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50589
- Practice address
- 478 Burnside Ave
East Hartford, CT 06108-2425 - Phone
- (860) 528-7161
- NPI assigned
- Oct 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 50589 | CT | Primary |
| Specialist | 174400000X | 50589 | CT |
Addresses
Primary practice location
478 Burnside Ave
East Hartford, CT 06108-2425
Mailing address
24 Park PL
Apt 25 H
Hartford, CT 06106-5008
Phone (732) 330-4057
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
290 Collins St
Hartford, CT 06105-1549
Phone (860) 246-0500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50589 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Hasan Yekta, M.D. P.C. | Internal Medicine | Current | Accepting new patients |
| Shafa Medical Clinic PC | Past | Accepting new patients |
Locations
478 Burnside Ave
East Hartford, CT 06108
Phone (860) 289-7161
27 Burnside Ave
East Hartford, CT 06108
Phone (860) 289-7161
290 Collins St
Hartford, CT 06105
Phone (860) 246-0500
Interoperability endpoints
- https://api.platform.athenahealth.com/18519/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- East Hartford, CT
- NPI 1003010745
-
- Clinic/Center
- Phoenix, AZ
- NPI 1194906925
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
-
dba Trinity Health of New England At Home
- Home Health Agency
- Hartford, CT
- NPI 1992702757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1912232646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PARK PL",
"address_2": "APT 25 H",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065008",
"telephone_number": "732-330-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "478 BURNSIDE AVE",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061082425",
"telephone_number": "860-528-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERRAGONDU",
"first_name": "SUNIL",
"middle_name": "K",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-14",
"last_updated": "2012-10-31",
"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": "50589",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "50589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.