LATHA CHIRUNOMULA MD
NPI 1104001692
Internal Medicine in West Haven, CT

Q: What is Latha Chirunomula's NPI number?

The NPI number for Latha Chirunomula is 1104001692. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Q: What is Latha Chirunomula's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Latha Chirunomula was last updated on June 8, 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.

Active since January 03, 2008PECOS EnrolledAccepts Medicare Assignment

764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516(203) 931-0034 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Nov 22, 2024, Apr 4, 2024 and 1 more (4 updates tracked since 2019).

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About Latha Chirunomula Md NPPES

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

LATHA CHIRUNOMULA MD (NPI 1104001692) is an individual internal medicine provider in West Haven, Connecticut, licensed in Connecticut (49780) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woodbridge, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104001692

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameLATHA CHIRUNOMULACredential: MD

Location Address764 CAMPBELL AVE STE EWest Haven, CT 06516-3786

Mailing Address764 Campbell Ave Ste EWest Haven, CT 06516-3786 · (203) 931-0034

Phone(203) 931-0034

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJanuary 3, 2008

Last NPPES UpdateJune 8, 20264 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1104001692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CT · 49780

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.

764 CAMPBELL AVE STE E, West Haven, CT 06516

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Latha Chirunomula Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012185127

PECOS Enrollment IDI20260303004042

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE ELIZABETH KRZMARZICK FNP-BC

Nurse Practitioner (Family)