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MALLASETAPPA SHIRANNA UMAPATHY MD
NPI 1811912512
General Practice in West Haven, CT

Active since July 13, 2006PECOS Enrolled
309 MAIN ST, WEST HAVEN, CT 06516(203) 933-4001(203) 933-3759 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallasetappa Shiranna Umapathy Md NPPES

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

MALLASETAPPA SHIRANNA UMAPATHY MD (NPI 1811912512) is an individual general practice provider in West Haven, Connecticut, licensed in Connecticut (025441) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811912512
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMALLASETAPPA SHIRANNA UMAPATHYCredential: MD
Location Address309 MAIN STWest Haven, CT 06516-4424
Mailing Address309 Main StWest Haven, CT 06516-4424 · (203) 933-4001 · Fax (203) 933-3759
Phone(203) 933-4001
Fax(203) 933-3759
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateJune 6, 2013
✔ NPI 1811912512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CT · 025441
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
309 MAIN ST, West Haven, CT 06516
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Other Identifiers 3

Medicare UPIND80768
Medicare ID-Type Unspecified010000754
Medicaid001254416CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallasetappa Shiranna Umapathy 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

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

GENERAL MEDICAL PRACTICE OF WEST HAVEN LLC
General Practice
309 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 933-4001

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 Mallasetappa Umapathy's NPI number?

The NPI number for Mallasetappa Umapathy is 1811912512. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Mallasetappa Umapathy located?

Mallasetappa Umapathy practices at 309 Main St, West Haven, CT 06516. The listed phone number is (203) 933-4001.

What is Mallasetappa Umapathy's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mallasetappa Umapathy enrolled in Medicare?

Yes. Mallasetappa Umapathy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallasetappa Umapathy was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.