Active NPI
Surabhi Khasgiwala, MD
- Neonatal-Perinatal Medicine Physician
- Hartford, CT
National Provider Identifier
1942828926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 1.074432-RES
- Practice address
- 282 Washington St
Hartford, CT 06106-3322 - Phone
- (860) 837-5184
- NPI assigned
- Jul 7, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-23607 | HI | |
| Pediatrics Physician | 208000000X | MDR-7998 | HI | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 1.074432-RES | CT | Primary |
Addresses
Primary practice location
282 Washington St
Hartford, CT 06106-3322
Mailing address
304 Colt Hwy Apt 31
Farmington, CT 06032-3075
Phone (585) 729-9997
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-23607 | HI | MD | Pediatrics Physician |
| MDR-7998 | HI | MD | Pediatrics Physician |
| 1.074432-RES | CT | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1942828926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 COLT HWY APT 31",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060323075",
"telephone_number": "585-729-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-837-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHASGIWALA",
"first_name": "SURABHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD-23607",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MDR-7998",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CT",
"license": "1.074432-RES",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.