Active NPI
Abhijay Prabhakar Karandikar, M.D.
- Occupational Medicine Physician
- Norwich, CT
National Provider Identifier
1992920276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 054563
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 017688 | ME | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 054563 | CT | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Hospital | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| American Current Care of Arkansas, PA | Current | Accepting new patients | |
| Reading Hospital | Current | 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.
-
- Surgery Physician
- West Reading, PA
- NPI 1457907198
-
- Community/Retail Pharmacy
- Limerick, PA
- NPI 1487468914
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.