Active NPI
Paula Lucine Chakerian, MD
- Internal Medicine Physician
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 048388
- Practice address
- 71 Haynes St
Manchester, CT 06040-4131 - Phone
- (203) 739-6959
- Fax
- (203) 739-6959
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 048388 | CT | |
| Internal Medicine Physician | 207R00000X | 048388 | CT | Primary |
Addresses
Primary practice location
71 Haynes St
Manchester, CT 06040-4131
Mailing address
307 Grissom Rd
Manchester, CT 06042-2222
Phone (203) 739-6959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1563394C77 | Other | CT | BNDD |
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 Foxon Rd
East Haven, CT 06513-2038
Phone (203) 529-3271
521 Boston Post Rd
Orange, CT 06477-3506
Phone (203) 529-3271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048388 | CT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Connecticut, LLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts II PC | Internal Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Docs Medical Inc | Internal Medicine | Current | Accepting new patients |
| Valley Hospitalist Medical Group, Inc | Hospitalist | Past | Accepting new patients |
Locations
317 Foxon Rd
East Haven, CT 06513
Phone (203) 484-9333
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
521 Boston Post Rd
Orange, CT 06477
Phone (203) 529-3271
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 6
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.
-
- Family Medicine Physician
- East Haven, CT
- NPI 1962265934
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1558696153
-
- Hospitalist Physician
- Visalia, CA
- NPI 1790925071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1942484084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 GRISSOM RD",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422222",
"telephone_number": "203-739-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "203-739-6959",
"fax_number": "203-739-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKERIAN",
"first_name": "PAULA",
"middle_name": "LUCINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "048388",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "048388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "1563394C77",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.