Individual provider Active NPI

Krishna Anand Lingiah, DO

  • Family Medicine Physician
  • Rocky Hill, CT
National Provider Identifier
1972185643
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79604 Issued in CT
Practice address
2080 Silas Deane Hwy Ste 301
Rocky Hill, CT 06067-2334
Phone
(860) 529-5507
Fax
(860) 529-5644
NPI assigned
Apr 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 79604 CT Primary

Addresses

Primary practice location

2080 Silas Deane Hwy Ste 301
Rocky Hill, CT 06067-2334

Mailing address

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 533-4679

Other practice location 1

71 Haynes St
Manchester, CT 06040-4188
Phone (860) 646-1222

Other practice location 2

130 Hartford Rd
Manchester, CT 06040-5921
Phone (860) 533-4673

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krishna.lingiah.1@27673.direct.athenahealth.com Direct

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
I20241210004005 CT Practitioner - Family Practice 3173059482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Medical Associates 2 PC 43 clinicians

Practice addresses (Care Compare)

2080 Silas Deane Hwy
Rocky Hill, CT 06067-2334
Phone (860) 529-5507

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Medical Associates 2 PC CurrentSince Nov 18, 2024 Accepting new patients
Collins Medical Associates 2 PC Family Medicine CurrentSince Nov 18, 2024 Accepting new patients

Locations

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

2080 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 529-5507

2080 Silas Deane Hwy
Ste 301
Rocky Hill, CT 06067
Phone (860) 529-5507

Interoperability endpoints

  • Direct secure messaging: krishna.lingiah.1@27673.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27673/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1972185643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-533-4679",
            "fax_number": "860-645-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 SILAS DEANE HWY STE 301",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672334",
            "telephone_number": "860-529-5507",
            "fax_number": "860-529-5644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Haynes St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060404188",
            "country_code": "US",
            "telephone_number": "860-646-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Hartford Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060405921",
            "country_code": "US",
            "telephone_number": "860-533-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINGIAH",
        "first_name": "KRISHNA",
        "middle_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "79604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krishna.lingiah.1@27673.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2080 Silas Deane Hwy Ste 301",
            "city": "Rocky Hill",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060672334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.