Individual provider Active NPI

Sathiyapama Eswarathasan, D.P.M.

  • Podiatrist
  • North Haven, CT
National Provider Identifier
1922158666
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000901 Issued in CT
Practice address
2 Broadway
Suite 2
North Haven, CT 06473
Phone
(203) 691-9197
Fax
(203) 496-4580
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00000 CT
Podiatrist 213E00000X 000901 CT Primary

Addresses

Primary practice location

2 Broadway
Suite 2
North Haven, CT 06473

Mailing address

2 Broadway
Suite 2
North Haven, CT 06473
Phone (203) 691-9197

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140207000008 CT Practitioner - Podiatry 6305878703 Reassigns benefits to 2 organizations
Practice locations: North Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Podiatry Partners, PLLCGroup PAC ID 6901228063, 6 clinicians

Practice addresses (Care Compare)

2 Broadway
Suite 2
North Haven, CT 06473-2370
Phone (203) 691-9197

850 N Main St Ext
Suite 2A2
Wallingford, CT 06492-2483
Phone (203) 314-9493

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions18
Removal of nail tissue815
Removal or shaving of skin growth355
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000901CTMDMarriage & Family Therapist
00000CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Podiatry LLC CurrentSince Jan 12, 2025 Accepting new patients
Dr. John J. Hickey, D.P.M., P.L.L.C. CurrentSince Aug 1, 2005 Accepting new patients
Connecticut Podiatry Partners, PLLC Podiatrist CurrentSince May 1, 2020 Accepting new patients
Urgent Care Medical Center LLC PastSince Feb 10, 2023 Accepting new patients
Lefrak City Family Care,PC Past Accepting new patients
Prime Fitness Physical Therapy PC PastSince Nov 1, 2007 Accepting new patients
Dr. John J. Hickey, D.P.M., P.L.L.C. Podiatrist PastSince Aug 1, 2005 Accepting new patients
Bright Pharmacy LLC Past Accepting new patients

Locations

2 Broadway
Ste 2
North Haven, CT 06473
Phone (203) 691-9197

850 N Main Street Ext
Ste 2A2
Wallingford, CT 06492
Phone (203) 314-9493

850 N Main Street Ext
Bldg 2
Wallingford, CT 06492
Phone (203) 397-5286

2870 Hempstead Tpke
Ste 103
Levittown, NY 11756
Phone (516) 735-4545

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBJDD

Organizations & group practices 8

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1922158666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROADWAY",
            "address_2": "SUITE 2",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-691-9197",
            "fax_number": "203-496-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROADWAY",
            "address_2": "SUITE 2",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-691-9197",
            "fax_number": "203-496-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESWARATHASAN",
        "first_name": "SATHIYAPAMA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "00000",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.