KANDIAH SRITHARAN M.D.
NPI 1124009964
Internal Medicine in New Haven, CT

Active since November 09, 2005PECOS Enrolled
980 WHALLEY AVE, NEW HAVEN, CT 06515(203) 387-2569(203) 387-9245 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kandiah Sritharan M.d. NPPES

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

KANDIAH SRITHARAN M.D. (NPI 1124009964) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (022287) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124009964
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKANDIAH SRITHARANCredential: M.D.
Location Address980 WHALLEY AVENew Haven, CT 06515-1733
Mailing Address980 Whalley AveNew Haven, CT 06515-1733 · (203) 387-2569 · Fax (203) 387-9245
Fax(203) 387-9245
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1124009964 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 · 022287
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.
980 WHALLEY AVE, New Haven, CT 06515

Other Identifiers 3

Medicaid1222876CT
Medicare UPINB84315CT
Medicare ID-Type Unspecified01000654

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kandiah Sritharan 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kandiah Sritharan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2080 WHITNEY AVE, SUITE 250
Hamden, CT 06518
  • Reassigned Medicare billing, Connecticut enrollment
  • 14 clinicians in this Medicare group
Nurse Practitioner
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Impact Health PC
  • 129 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06515 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

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

Internal Medicine
980 WHALLEY AVE
NEW HAVEN, CT 06515

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 Kandiah Sritharan's NPI number?

The NPI number for Kandiah Sritharan is 1124009964. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Kandiah Sritharan located?

Kandiah Sritharan practices at 980 Whalley Ave, New Haven, CT 06515. The listed phone number is (203) 387-2569.

What is Kandiah Sritharan's specialty?

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

Is Kandiah Sritharan enrolled in Medicare?

Yes. Kandiah Sritharan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kandiah Sritharan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kandiah Sritharan reassigns Medicare benefits to 2 organizations: Patient Choice Medical Care LLC (Hamden, CT) and Impact Health P.C. (Orange, CT). Each 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 Kandiah Sritharan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kandiah Sritharan was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.