KARTHIK MATHIALAGAN M.D
NPI 1114509411
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since April 26, 2021PECOS Enrolled
267 GRANT STREET, BRIDGEPORT, CT 06610(203) 384-3000 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2021, May 6, 2021, Apr 26, 2021 (3 updates tracked since 2021).

About Karthik Mathialagan M.d NPPES

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

KARTHIK MATHIALAGAN M.D (NPI 1114509411) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114509411
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKARTHIK MATHIALAGANCredential: M.D
Location Address267 GRANT STREETBridgeport, CT 06610
Mailing Address267 Grant StreetBridgeport, CT 06610
Sole ProprietorNo
Enumeration DateApril 26, 2021
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
NPI 1114509411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
267 GRANT STREET, Bridgeport, CT 06610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Karthik Mathialagan M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
267 GRANT STREET
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Internal Medicine (Cardiovascular Disease)
267 GRANT STREET, BRIDGEPORT HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAM
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Hospitalist
267 GRANT STREET
BRIDGEPORT, CT 06610
Hospitalist
267 GRANT STREET
BRIDGEPORT, CT 06610

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 Karthik Mathialagan's NPI number?

The NPI number for Karthik Mathialagan is 1114509411. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Karthik Mathialagan located?

Karthik Mathialagan practices at 267 Grant Street, Bridgeport, CT 06610. The listed phone number is (203) 384-3000.

What is Karthik Mathialagan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Karthik Mathialagan enrolled in Medicare?

Yes. Karthik Mathialagan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karthik Mathialagan was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.