AVANTA CLINIC LLC
NPI 1619467826
Internal Medicine in Glastonbury, CT
About Avanta Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVANTA CLINIC LLC (NPI 1619467826) is a healthcare organization registered as an internal medicine in Glastonbury, Connecticut and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through May 24, 2028 and lists Sudeep Bansal, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avanta Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Avanta Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D2149140
Avanta Clinic LLC · Glastonbury, CTFrequently 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 Avanta Clinic LLC's NPI number?
The NPI number for Avanta Clinic LLC is 1619467826. It was assigned to this organization in the NPPES registry on May 14, 2018.
Where is Avanta Clinic LLC located?
Avanta Clinic LLC is located at 131 New London Tpke Ste 105, Glastonbury, CT 06033. The listed phone number is (860) 430-5599.
What is Avanta Clinic LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Avanta Clinic LLC enrolled in Medicare?
Yes. Avanta Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avanta Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Avanta Clinic LLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avanta Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2149140) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Avanta Clinic LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Avanta Clinic LLC 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 Avanta Clinic LLC was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Avanta Clinic Llc · NPI 1619467826
Internal Medicine organization in Glastonbury, Connecticut. Organization record, active in the CMS NPPES registry since May 14, 2018.
## Identity
- **NPI:** 1619467826 (Entity type: Organization)
- **Enumerated:** May 14, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sudeep Bansal, OWNER
## Practice location
- **Address:** 131 NEW LONDON TPKE STE 105, Glastonbury, CT 06033
- **Phone:** (860) 430-5599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619467826) · Data from the CMS NPPES public registry.