Individual provider Active NPI

Paula Lucine Chakerian, MD

  • Internal Medicine Physician
  • Manchester, CT
National Provider Identifier
1942484084
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048388 Issued in CT
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

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1563394C77OtherCTBNDD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000912 CT Practitioner - Internal Medicine 1557408523 Reassigns benefits to 5 organizations

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
Docs Medical IncGroup PAC ID 3173895000, 30 clinicians
CT Medical Group Inc.Group PAC ID 9739663105, 35 clinicians

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

LicenseStateTypeSpecialty
048388CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Connecticut, LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 5, 2024 Accepting new patients
Docs Medical Inc Internal Medicine CurrentSince Sep 11, 2025 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.

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

Verify at the official NPI Registry.