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KEVIN M THARAKAN MD
NPI 1386222636
Family Medicine in Guilford, CT

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
1591 BOSTON POST RD STE 100, GUILFORD, CT 06437(203) 932-6481(203) 932-4051 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2024, Aug 7, 2024, Jun 26, 2024 and 1 more (4 updates tracked since 2021).

About Kevin M Tharakan Md NPPES

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

KEVIN M THARAKAN MD (NPI 1386222636) is an individual family medicine provider in Guilford, Connecticut, licensed in Connecticut (76890) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386222636
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN M THARAKANCredential: MD
Location Address1591 BOSTON POST RD STE 100Guilford, CT 06437-4335
Mailing Address1 Cellini Pl Ste 102West Haven, CT 06516-1666 · (203) 932-6481 · Fax (203) 932-4051
Phone(203) 932-6481
Fax(203) 932-4051
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateJuly 28, 20254 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1386222636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 76890
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1591 BOSTON POST RD STE 100, Guilford, CT 06437
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin M Tharakan 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 ID4789127143
PECOS Enrollment IDI20240613004087
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 Reassignment

Medicare enrollment records show Kevin Tharakan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hhc Physician Services, PLLC
1.7 mi
Pulmonary Disease
350 GOOSE LN STE 203B
Guilford, CT 06437
  • Reassigned Medicare billing, Connecticut enrollment
  • 156 clinicians in this Medicare group
NPI 1962212779 (203) 738-7700

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
39 services34 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
34 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services19 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06437 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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 11

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

DR. JEFFREY CARLTON ROESER MD
Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 453-9911
TIMOTHY RAUSCH RN, MSN, FNP
Nurse Practitioner (Family)
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
South Central Connecticut Planning Region (475) 900-9800
ANTHONY MASCIA MD
Family Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
South Central Connecticut Planning Region (475) 900-9800
MONICA M MUNTEANU MD
Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
South Central Connecticut Planning Region (475) 900-9800
MR. FRANK J ZIMMITTI PAC MS
Physician Assistant
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 932-6481
JOSEPH BALSAMO M.D.
Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 932-6481
DR. KATHRYN LEIGH MAZZA D.O.
Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 453-9911
USHANI JAYASINGHE MD
Internal Medicine
1591 BOSTON POST RD STE 100
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 932-6481

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 Kevin Tharakan's NPI number?

The NPI number for Kevin Tharakan is 1386222636. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Kevin Tharakan located?

Kevin Tharakan practices at 1591 Boston Post Rd Ste 100, Guilford, CT 06437. The listed phone number is (203) 932-6481.

What is Kevin Tharakan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Tharakan enrolled in Medicare?

Yes. Kevin Tharakan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Tharakan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Tharakan reassigns Medicare benefits to Hhc Physician Services, PLLC (Guilford, CT). The 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 Kevin Tharakan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Tharakan accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin Tharakan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Tharakan was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.