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

About INTERNAL MEDICINE OF WESTHAVEN,LLC

Internal Medicine Of Westhaven,llc is an internist established in West Haven, Connecticut operating as a Internal Medicine. The NPI number of this provider is 1003005703 and was assigned on October 2007. The practitioner's primary taxonomy code is 207R00000X with license number 035984 (CT). The provider is registered as an organization and their NPI record was last updated 15 years ago. Internal Medicine Of Westhaven,llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sreedhar R Gottiparthy M.d (Phisician)

NPI
1003005703
Provider NameINTERNAL MEDICINE OF WESTHAVEN,LLC
Location Address764 CAMPBELL AVE SUITE E WEST HAVEN, CT 06516
Location Phone(203) 931-0034
Mailing Address764 CAMPBELL AVE WEST HAVEN, CT 06516
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-18-2007
Last Update Date10-18-2007

An internist like Internal Medicine Of Westhaven,llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc..

The CLIA number of Internal Medicine Of Westhaven,llc is 07D1008034 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Internal Medicine Of Westhaven,llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.035984
License StateCT
Taxonomy DescriptionA 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.

Business Address

764 CAMPBELL AVE
SUITE E
WEST HAVEN, CT
ZIP 06516
Phone: (203) 931-0034
Fax: (203) 931-8225

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Mailing Address

764 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516
Phone: (203) 931-0034
Fax: (203) 931-8225


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameDR. SREEDHAR R GOTTIPARTHY M.D
Authorized Official TitlePHISICIAN
Authorized Official Phone(203) 931-0034

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003005703 is:

CLIA Number07D1008034
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003005703
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 7 + 0 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003005703 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861622474PHYSICAL THERAPY & REHABILITATION CENTER LLC
Organization
Physical Therapist764 CAMPBELL AVE SUITE H
WEST HAVEN, CT 06516
(203) 909-6470
1619991981 SEAN WAYNE LAZARUS D.P.M
Individual
Podiatrist764 CAMPBELL AVE SUITE G
WEST HAVEN, CT 06516
(475) 238-7400
1679680391DR. NKEMAKONAM H IKEKPEAZU MD
Individual
Surgery764 CAMPBELL AVE
WEST HAVEN, CT 06516
(203) 937-8778
1629430251 SANDHYA JINESH
Individual
Pharmacist764 CAMPBELL AVE UNIT A
WEST HAVEN, CT 06516
(203) 934-7100
1437561990WEST HAVEN PHARMACY, LLC
Organization
Pharmacy (Community/Retail Pharmacy)764 CAMPBELL AVE
WEST HAVEN, CT 06516
(203) 974-7100
1881180222DR. EYMY DIANA CHACON APRN
Individual
Nurse Practitioner (Family)764 CAMPBELL AVE
WEST HAVEN, CT 06516
(203) 931-0034

Frequently Asked Questions

What is INTERNAL MEDICINE OF WESTHAVEN,LLC NPI number?

The NPI number assigned to this healthcare provider is 1003005703, registered as an "organization" on October 18, 2007

Where is INTERNAL MEDICINE OF WESTHAVEN,LLC located?

The provider is located at 764 Campbell Ave Suite E West Haven, Ct 06516 and the phone number is (203) 931-0034

What kind of medical provider is INTERNAL MEDICINE OF WESTHAVEN,LLC?

This medical organization specializes in Internal Medicine

What is INTERNAL MEDICINE OF WESTHAVEN,LLC CLIA number?

The provider's CLIA number is 07D1008034 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

The NPI record of INTERNAL MEDICINE OF WESTHAVEN,LLC was last updated on October 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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