MR. BALAPHANIDHAR MOGGA MD
NPI 1265176200
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since April 26, 2022PECOS Enrolled
2800 MAIN STREET, DEPT OF MEDICINE, BRIDGEPORT, CT 06606(475) 210-5425(475) 210-5022 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2023, May 19, 2022, Apr 26, 2022 (3 updates tracked since 2022).

About Mr. Balaphanidhar Mogga Md NPPES

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

MR. BALAPHANIDHAR MOGGA MD (NPI 1265176200) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265176200
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. BALAPHANIDHAR MOGGACredential: MD
Location Address2800 MAIN STREET, DEPT OF MEDICINEBridgeport, CT 06606
Mailing Address2800 Main Street, Dept Of MedicineBridgeport, CT 06606 · (475) 210-5425 · Fax (475) 210-5022
Fax(475) 210-5022
Sole ProprietorNo
Enumeration DateApril 26, 2022
Last NPPES UpdateFebruary 9, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
NPI 1265176200 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.

2800 MAIN STREET, Bridgeport, CT 06606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Balaphanidhar Mogga Md 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.

Student in an Organized Health Care Education/Training Program
2800 MAIN STREET
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN STREET, SAINT VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPT OF MEDICINE
BRIDGEPORT, CT 06606
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICINE
BRIDGEPORT, CT 06606
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606

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 Balaphanidhar Mogga's NPI number?

The NPI number for Balaphanidhar Mogga is 1265176200. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Balaphanidhar Mogga located?

Balaphanidhar Mogga practices at 2800 Main Street Dept Of Medicine, Bridgeport, CT 06606. The listed phone number is (475) 210-5425.

What is Balaphanidhar Mogga's specialty?

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

Is Balaphanidhar Mogga enrolled in Medicare?

Yes. Balaphanidhar Mogga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Balaphanidhar Mogga was last updated on February 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.