Connecticut Kidney & Hypertension Specialists, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

030022 Issued in CT

Legal business name

CONNECTICUT KIDNEY & HYPERTENSION SPECIALISTS, LLC

Practice address

140 Grandview Ave
Waterbury, CT 06708-2505

Phone

(203) 597-9733

Fax

(203) 597-9732

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marc Ciampi, MDNPI 1366444135

Title

Group Member

Phone

(203) 597-9733

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc A Ciampi, M.D.

  • Nephrology Physician
  • Waterbury, CT
  • NPI 1366444135
  Medicare reassignment Care Compare group NPD Authorized official
• George Sunny Pazhayattil, M.D.

  • Nephrology Physician
  • Torrington, CT
  • NPI 1588810055
  Medicare reassignment Care Compare group NPD
• Krishna Sury, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1780020073

  CT, Single Specialty

  Medicare reassignment Care Compare group NPD
• Andrew Donati, MD

  • Nephrology Physician
  • Waterbury, CT
  • NPI 1730543653
  Medicare reassignment Care Compare group
• William A Handelman, M.D.

  • Nephrology Physician
  • Torrington, CT
  • NPI 1609851369
  Medicare reassignment Care Compare group
• Sandeep Tiyyagura, MD

  • Nephrology Physician
  • Waterbury, CT
  • NPI 1982882882
  Medicare reassignment Care Compare group
• Anthony J Cusano II, MD

  • Nephrology Physician
  • Waterbury, CT
  • NPI 1205944089
  Medicare reassignment NPD
• Jean K Evangelisti, APRN

  • Adult Health Nurse Practitioner
  • Torrington, CT
  • NPI 1760464903
  NPD

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1962651968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE",
            "address_2": "SUITE 101",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-597-9733",
            "fax_number": "203-597-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-597-9733",
            "fax_number": "203-597-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT KIDNEY & HYPERTENSION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "CIAMPI",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "GROUP MEMBER",
        "authorized_official_telephone_number": "203-597-9733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "030022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001300227",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Nephrology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.