Individual provider Active NPI

Mohan Vodapally, M.D.,DABPM

  • Interventional Pain Medicine Physician
  • Hamden, CT
National Provider Identifier
1952340887
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
039595 Issued in CT
Practice address
2447 Whitney Ave, Suite 1
Hamden, CT 06511-3211
Phone
(203) 624-4400
Fax
(203) 624-4402
NPI assigned
Jun 6, 2006
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 039595 CT
Interventional Pain Medicine Physician 208VP0014X 039595 CT Primary

Addresses

Primary practice location

2447 Whitney Ave, Suite 1
Hamden, CT 06511-3211

Mailing address

2447 Whitney Ave, Suite1
Hamden, CT 06518-3211
Phone (203) 624-4400

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
I20051108000054 CT Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 5890713994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Regional Pain Specialists,LLCGroup PAC ID 9638228109, 2 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

2447 Whitney Ave
Suite 1
Hamden, CT 06518-3211
Phone (203) 624-4400

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039595CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Regional Pain Specialists,LLC Interventional Pain Medicine CurrentSince Mar 16, 2009 Accepting new patients
Springfield Anesthesia Service, Inc. Anesthesiology Past Accepting new patients
Anesthesiology Associates of Eastern Connecticut, P.C Anesthesiology Past Accepting new patients
Umass Memorial Medical Group Inc Anesthesiology Past Accepting new patients

Locations

2447 Whitney Ave
Ste 1
Hamden, CT 06518
Phone (203) 624-4400

2447 Whitney Ave
Ste 2B
Hamden, CT 06518
Phone (203) 624-4400

Interoperability endpoints

  • Direct secure messaging: vodapally.mohan.003.0070007@crps.meditab.direct-ci.com
  • Direct secure messaging: vodapally.mohan.011.0070007@crps.meditab.direct-ci.com
  • Direct secure messaging: vodapally.mohan.012.0070007@crps.meditab.direct-ci.com
  • Direct secure messaging: vodapally.mohan.014.0070007@crps.meditab.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1952340887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 WHITNEY AVE, SUITE1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183211",
            "telephone_number": "203-624-4400",
            "fax_number": "203-624-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 WHITNEY AVE, SUITE 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065113211",
            "telephone_number": "203-624-4400",
            "fax_number": "203-624-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODAPALLY",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,DABPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "039595",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "039595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.