Individual provider Active NPI

Rajnish Tandon, M.D.

  • Surgery Physician
  • Glastonbury, CT
National Provider Identifier
1972707040
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
045550 Issued in CT
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2822868OtherCTUNITED HEALTH CARE
9693073OtherCTUS HEALTHCARE
6179898OtherCTCIGNA
9693073OtherCTAETNA
P3830539OtherCTOXFORD
010045550CT01OtherCTANTHEM BLUE CROSS
1972707040OtherNPI
045550OtherCTCONNECTICARE
3V0039OtherCTHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071009000401 CT Practitioner - General Surgery 0547355307 Reassigns benefits to 1 organization
I20250121000164 VT Practitioner - General Surgery 0547355307 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Mastectomy1-10
Melanoma (skin cancer) excision27
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045550CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Hospital CurrentSince Dec 20, 2024 Accepting new patients
Collins Surgical Associates, P.C. Surgery CurrentSince Aug 13, 2007 Accepting new patients
Springfield Hospital .Inc CurrentSince Dec 20, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.