Individual provider Active NPI

Abhijay Prabhakar Karandikar, M.D.

  • Occupational Medicine Physician
  • Norwich, CT
National Provider Identifier
1992920276
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
054563 Issued in CT
Practice address
42 Town St
Suite 300
Norwich, CT 06360-2316
Phone
(860) 886-0567
Fax
(860) 886-0656
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 017688 ME
Occupational Medicine Physician 2083X0100X 054563 CT Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 054563 CT

Addresses

Primary practice location

42 Town St
Suite 300
Norwich, CT 06360-2316

Mailing address

112 Lafayette St
Norwich, CT 06360-2737
Phone (860) 425-8735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AR2 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
I20191003003424 PA Practitioner - Preventive Medicine 5890859797 Reassigns benefits to 1 organization
I20220812002747 AR Practitioner - Preventive Medicine 5890859797 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017688MEMDPreventive Medicine/Occupational Environmental Medicine Physician
054563CTMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Aug 26, 2019 Accepting new patients
Reading Hospital Current Accepting new patients
American Current Care of Arkansas, PA CurrentSince Aug 1, 2022 Accepting new patients
Reading Hospital CurrentSince Aug 26, 2019 Accepting new patients

Locations

3470 Landers Rd
North Little Rock, AR 72117
Phone (501) 319-2579

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 225
West Reading, PA 19611
Phone (610) 376-8004

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 4

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1992920276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602737",
            "telephone_number": "860-425-8735",
            "fax_number": "860-425-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 TOWN ST",
            "address_2": "SUITE 300",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602316",
            "telephone_number": "860-886-0567",
            "fax_number": "860-886-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANDIKAR",
        "first_name": "ABHIJAY",
        "middle_name": "PRABHAKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "ME",
            "license": "017688",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "054563",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CT",
            "license": "054563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.