Individual provider Active NPI

Shatya Chittoori, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bristol, CT
National Provider Identifier
1982922332
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
050230 Issued in CT
Practice address
85 Beleden Gardens Dr
Bristol, CT 06010-5834
Phone
(860) 845-5901
Fax
(860) 845-5905
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050230 CT
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 050230 CT Primary

Addresses

Primary practice location

85 Beleden Gardens Dr
Bristol, CT 06010-5834

Mailing address

85 Beleden Gardens Dr
Bristol, CT 06010-5834
Phone (860) 845-5901

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
I20110907000818 CT Practitioner - Internal Medicine 0547430274 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bristol Hospital Multi Specialty Group, Inc.Group PAC ID 9032014758, 148 clinicians

Practice addresses (Care Compare)

41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 585-3000

Hospital & facility affiliations

  • Bristol Hospital Home Care Agency Home health agency, Bristol, CT, CCN 077198
  • Bristol Home Care and Hospice Agency, Inc. Hospice, Bristol, CT, CCN 071517
  • Bristol Hospital Hospital, Bristol, CT, CCN 070029
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Caleb Hitchcock Health Center Nursing home, Bloomfield, CT, CCN 075301
  • Hebrew Center For Health And Rehabilitation Nursing home, West Hartford, CT, CCN 075109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Aug 31, 2017 Accepting new patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Feb 4, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 1, 2019 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Aug 31, 2017 Accepting new patients
Bristol Hospital Incorporated CurrentSince Feb 1, 2024 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Aug 31, 2017 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jul 22, 2013 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jul 22, 2013 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

30 Loeffler Rd
Bloomfield, CT 06002
Phone (860) 380-5150

420 N Main St
Bristol, CT 06010
Phone (860) 314-4400

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

85 Beleden Gardens Dr
Bristol, CT 06010
Phone (860) 582-1220

25 Collins Rd
Bristol, CT 06010
Phone (860) 584-0541

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

Interoperability endpoints

  • Direct secure messaging: shatya.chittoori@xdr.hhchealthdirect.org

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1982922332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BELEDEN GARDENS DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105834",
            "telephone_number": "860-845-5901",
            "fax_number": "860-845-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BELEDEN GARDENS DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105834",
            "telephone_number": "860-845-5901",
            "fax_number": "860-845-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTOORI",
        "first_name": "SHATYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "050230",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "050230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.