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SUMEDH KRISHNA IYENGAR MD
NPI 1699478933
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since March 24, 2023PECOS Enrolled
267 GRANT ST, BRIDGEPORT, CT 06610(203) 384-4442 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Mar 24, 2023 (2 updates tracked since 2023).

About Sumedh Krishna Iyengar Md NPPES

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

SUMEDH KRISHNA IYENGAR MD (NPI 1699478933) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1699478933
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSUMEDH KRISHNA IYENGARCredential: MD
Location Address267 GRANT STBridgeport, CT 06610-2870
Mailing Address655 W 8th St # C35Jacksonville, FL 32209-6511 · (904) 244-3932
Phone(203) 384-4442
Sole ProprietorYes
Enumeration DateMarch 24, 2023
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1699478933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
267 GRANT ST, Bridgeport, CT 06610
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Secondary Practice Location 1

Location 1655 W 8th St # C35Jacksonville, FL 32209-6511 · Phone (904) 244-3932

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sumedh Krishna Iyengar 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.

MR. ALEX SCOTT CADAN PA-C
Physician Assistant (Surgical)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4500
RYAN KEENAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
DR. BLAZE KELLY DO
Anesthesiology (Pain Medicine)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
KARINA K. LINCER
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
DOROTHY D. DAPONTE
Physical Therapy Assistant
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
MISS SANDRA SHIPKOWITZ APRN
Nurse Practitioner (Pediatrics)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4490
HOLLY S. ASHBY
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
TESSA GURALNICK DPT
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3708

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 Sumedh Iyengar's NPI number?

The NPI number for Sumedh Iyengar is 1699478933. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Sumedh Iyengar located?

Sumedh Iyengar practices at 267 Grant St, Bridgeport, CT 06610. The listed phone number is (203) 384-4442.

What is Sumedh Iyengar's specialty?

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

Is Sumedh Iyengar enrolled in Medicare?

Yes. Sumedh Iyengar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sumedh Iyengar was last updated on February 2, 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.