1. Home
  2. Directory
  3. Connecticut
  4. West Haven
  5. Internal Medicine
  6. NPI Profile

INTERNAL MEDICINE OF WEST HAVEN LLC
NPI 1003005703
Internal Medicine in West Haven, CT

Active since October 18, 2007CLIA 07D1008034 · Waiver
764 CAMPBELL AVE, SUITE E, WEST HAVEN, CT 06516(203) 931-0034(203) 931-8225 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, Feb 11, 2025, Feb 6, 2025 and 5 more (8 updates tracked since 2023).

About Internal Medicine Of West Haven Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERNAL MEDICINE OF WEST HAVEN LLC (NPI 1003005703) is a healthcare organization registered as an internal medicine in West Haven, Connecticut and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through January 8, 2027, maintains a secondary practice location in Woodbridge, and lists Piyush Gupta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003005703
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE OF WEST HAVEN LLC
Location Address764 CAMPBELL AVE, SUITE EWest Haven, CT 06516-3786
Mailing Address764 Campbell AveWest Haven, CT 06516-3786 · (203) 931-0034 · Fax (203) 931-8225
Phone(203) 931-0034
Fax(203) 931-8225
Organization SubpartNo
Authorized OfficialPiyush GuptaCeo · (203) 931-0034
Enumeration DateOctober 18, 2007
Last NPPES UpdateAugust 24, 20268 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1003005703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
764 CAMPBELL AVE, West Haven, CT 06516
Open in Google Maps ↗

Secondary Practice Location 1

Location 1245 Amity Rd Ste 108Woodbridge, CT 06525-2256 · Phone (203) 397-2227 · Fax (203) 389-9313

Other Identifiers 4

Medicaid008117274CT
Medicaid008080626CT
Medicaid008118533CT
Medicaid008119896CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internal Medicine Of West Haven Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Internal Medicine Of West Haven LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Latha Chirunomula, MD
Internal Medicine
NPI 1104001692
764 CAMPBELL AVE STE E
West Haven, CT 06516
(203) 931-0034
✔ PECOS✔ Accepts MedicareSame address
Ingrid Coello
Nurse Practitioner
NPI 1982320925
764 CAMPBELL AVE STE E
West Haven, CT 06516
(203) 931-0034
✔ PECOS✔ Accepts MedicareSame address
Piyush Gupta, M.D.
Internal Medicine
NPI 1780945212
764 CAMPBELL AVE STE E
West Haven, CT 06516
(203) 931-0034
✔ PECOS✔ Accepts MedicareSame address
Di Yi He, APRN
Nurse Practitioner
NPI 1063082923
764 CAMPBELL AVE
West Haven, CT 06516
(203) 931-0034
✔ PECOS✔ Accepts MedicareSame address
Jamie Krzmarzick, FNP-BC
Nurse Practitioner
NPI 1083080998
764 CAMPBELL AVE STE E
West Haven, CT 06516
(203) 931-0034
✔ PECOS✔ Accepts MedicareSame address
Parnian Kiamanesh, M.D.
Family Practice
NPI 1598052946
110 COMMERCE DR
Shelton, CT 06484
(203) 929-7331
✔ PECOS✔ Accepts Medicare8.7 mi
Vanessa Joyce, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1952792988
11 CRUM ELBOW RD
Hyde Park, NY 12538
(845) 229-1020
✔ PECOS✔ Accepts Medicare61 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1008034

Internal Medicine Of West Haven Ct · West Haven, CT
Active · expires Jan 8, 2027
CLIA Number07D1008034
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorSreedhar R. Gottiparthy, MD
Laboratory Phone(203) 931-0034
Laboratory LocationInternal Medicine Of West Haven Ct764 Campbell Avenue, West Haven, CT 06516
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Internal Medicine Of West Haven LLC's NPI number?

The NPI number for Internal Medicine Of West Haven LLC is 1003005703. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Internal Medicine Of West Haven LLC located?

Internal Medicine Of West Haven LLC is located at 764 Campbell Ave Suite E, West Haven, CT 06516. The listed phone number is (203) 931-0034.

What is Internal Medicine Of West Haven LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Internal Medicine Of West Haven LLC enrolled in Medicare?

Yes. Internal Medicine Of West Haven LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine Of West Haven LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Internal Medicine Of West Haven LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Internal Medicine (2) and Family Practice (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Internal Medicine Of West Haven LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1008034) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Internal Medicine Of West Haven LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Internal Medicine Of West Haven LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Internal Medicine Of West Haven LLC was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.