Active NPI
Rajnish Tandon, M.D.
- Surgery Physician
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 045550
- Practice address
- 300 Hebron Ave
Ste 211
Glastonbury, CT 06033-2192 - Phone
- (860) 522-1024
- Fax
- (860) 278-4613
- NPI assigned
- Jun 13, 2007
- Last updated
- Jul 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 045550 | CT | Primary |
Addresses
Primary practice location
300 Hebron Ave
Ste 211
Glastonbury, CT 06033-2192
Mailing address
300 Hebron Ave Ste 211
Glastonbury, CT 06033-2192
Phone (860) 522-1024
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2822868 | Other | CT | UNITED HEALTH CARE |
| 9693073 | Other | CT | US HEALTHCARE |
| 6179898 | Other | CT | CIGNA |
| 9693073 | Other | CT | AETNA |
| P3830539 | Other | CT | OXFORD |
| 010045550CT01 | Other | CT | ANTHEM BLUE CROSS |
| 1972707040 | Other | NPI | |
| 045550 | Other | CT | CONNECTICARE |
| 3V0039 | Other | CT | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Connecticut School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 Hebron Ave
Suite 211
Glastonbury, CT 06033-2192
Phone (860) 522-1024
54 W Avon Rd
Avon, CT 06001-3680
Phone (860) 522-1024
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 21 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 27 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045550 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Hospital | Current | Accepting new patients | |
| Collins Surgical Associates, P.C. | Surgery | Current | Accepting new patients |
| Springfield Hospital .Inc | Current | Accepting new patients |
Locations
54 W Avon Rd
Avon, CT 06001
Phone (860) 269-3370
160 Hazard Ave
Ste 103
Enfield, CT 06082
Phone (860) 580-5656
9 Cranbrook Blvd
Enfield, CT 06082
Phone (860) 253-5330
55 South Rd
Ste 100
Farmington, CT 06032
Phone (203) 237-4477
300 Hebron Ave
Ste 211
Glastonbury, CT 06033
Phone (860) 522-1024
290 Collins St
Hartford, CT 06105
Phone (860) 246-0500
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Interoperability endpoints
- rtandon2388447@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Surgery Physician
- Glastonbury, CT
- NPI 1982617437
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
-
- Critical Access Hospital
- Springfield, VT
- NPI 1982743969
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1972707040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HEBRON AVE STE 211",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332192",
"telephone_number": "860-522-1024",
"fax_number": "860-278-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HEBRON AVE",
"address_2": "STE 211",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332192",
"telephone_number": "860-522-1024",
"fax_number": "860-278-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANDON",
"first_name": "RAJNISH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "045550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2822868",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "9693073",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6179898",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9693073",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3830539",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "010045550CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1972707040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "045550",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3V0039",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.