DR. RENUKA UMASHANKER MD
NPI 1437130309
Internal Medicine - Gastroenterology in Hamden, CT

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
90.74/100
CMS Quality Rating
2200 WHITNEY AVE, SUITE 360, HAMDEN, CT 06518(203) 281-4463 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2021, Oct 8, 2020 (2 updates tracked since 2020).

About Dr. Renuka Umashanker Md NPPES

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

DR. RENUKA UMASHANKER MD (NPI 1437130309) is an individual gastroenterology provider in Hamden, Connecticut, licensed in Connecticut (036938) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1437130309
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RENUKA UMASHANKERCredential: MD
Location Address2200 WHITNEY AVE, SUITE 360Hamden, CT 06518-3691
Mailing Address2200 Whitney Ave, Suite 360Hamden, CT 06518-3691 · (203) 281-4463
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 8, 2005
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
NPI 1437130309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CT · 036938
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2200 WHITNEY AVE, Hamden, CT 06518

Other Identifiers 1

Medicaid001369380CT

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

Dr. Renuka Umashanker 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 ID9032115605
PECOS Enrollment IDI20090421000603
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.

Areas of Expertise CMS Part B claims 11

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.

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.
159 services126 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
67 services66 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
59 services59 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.
43 services41 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
34 services34 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.27
Promoting Interoperability100
Improvement Activities40
Cost58.92

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 (Cardiovascular Disease)
2200 WHITNEY AVE, SUITE 180
HAMDEN, CT 06518
Internal Medicine (Gastroenterology)
2200 WHITNEY AVE, SUITE 360
HAMDEN, CT 06518
Internal Medicine (Cardiovascular Disease)
2200 WHITNEY AVE, STE 180
HAMDEN, CT 06518
Internal Medicine (Gastroenterology)
2200 WHITNEY AVE, SUITE 360
HAMDEN, CT 06518
Nurse Practitioner (Pediatrics)
2200 WHITNEY AVE, SUITE 240
HAMDEN, CT 06518
Nurse Practitioner (Family)
2200 WHITNEY AVE, SUITE 360
HAMDEN, CT 06518
Dentist (Orthodontics and Dentofacial Orthopedics)
2200 WHITNEY AVE, SUITE 250
HAMDEN, CT 06518
Dietitian, Registered
2200 WHITNEY AVE, SUITE 180
HAMDEN, CT 06518

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 Renuka Umashanker's NPI number?

The NPI number for Renuka Umashanker is 1437130309. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Renuka Umashanker located?

Renuka Umashanker practices at 2200 Whitney Ave Suite 360, Hamden, CT 06518. The listed phone number is (203) 281-4463.

What is Renuka Umashanker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Renuka Umashanker enrolled in Medicare?

Yes. Renuka Umashanker 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.

When was this NPI record last updated?

The NPPES record for Renuka Umashanker was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.