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

NPI Status: Active since October 18, 2007

Contact Information

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

Get Directions Reviews

  • Organization
  • Internal Medicine
  • CLIA Number 07D1008034
  • CLIA Certificate of Waiver

About INTERNAL MEDICINE OF WEST HAVEN LLC

Internal Medicine Of West Haven Llc is an internist established in West Haven, Connecticut operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1003005703 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 November 2023. The organization 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. Piyush Gupta M.d (Physician)

NPI1003005703
Provider NameINTERNAL MEDICINE OF WEST HAVEN LLC
Location Address764 CAMPBELL AVE SUITE E WEST HAVEN, CT 06516
Location Phone(203) 931-0034
Mailing Address764 CAMPBELL AVE WEST HAVEN, CT 06516
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-18-2007
Last Update Date11-06-2023
Code Navigator

An internist like Internal Medicine Of West Haven 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 West Haven Llc is 07D1008034 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Internal Medicine Of West Haven 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.

Location Map

Mailing Address

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

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code207R00000X
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.

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.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PIYUSH GUPTA M.D

Authorized Official TitlePHYSICIAN
Authorized Official Phone(203) 931-0034

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001359844MEDICAID (05)CT 
008080626MEDICAID (05)CT 

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 this NPI number is:

CLIA Number07D1008034
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Reviews for INTERNAL MEDICINE OF WEST HAVEN LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 7 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
1255009056 MALLORY ALEXIS FREEMAN APRN
Individual
Nurse Practitioner (Family)764 CAMPBELL AVE
WEST HAVEN, CT 06516
(203) 443-9500

Frequently Asked Questions

What is INTERNAL MEDICINE OF WEST HAVEN LLC NPI number?

The NPI number assigned to this healthcare provider is 1003005703, enumerated in the NPI registry as an "organization" on October 18, 2007

Where is the provider located?

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

What is the provider specialty code?

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

What insurance does INTERNAL MEDICINE OF WEST HAVEN LLC accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

What is INTERNAL MEDICINE OF WEST HAVEN 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?

This NPI record 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.