COPPER CANYON CARE PC
NPI 1871386821
Internal Medicine - Geriatric Medicine in Shelton, CT
About Copper Canyon Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COPPER CANYON CARE PC (NPI 1871386821) is a healthcare organization registered as a geriatric medicine in Shelton, Connecticut and active in the NPI registry since May 2025. The organization lists Manoj Wadhwani, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Copper Canyon Care Pc 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 Copper Canyon Care PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Shelton, CT 06484
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Copper Canyon Care PC's NPI number?
The NPI number for Copper Canyon Care PC is 1871386821. It was assigned to this organization in the NPPES registry on May 23, 2025.
Where is Copper Canyon Care PC located?
Copper Canyon Care PC is located at 5 Research Dr, Shelton, CT 06484. The listed phone number is (203) 901-2493.
What is Copper Canyon Care PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Copper Canyon Care PC enrolled in Medicare?
Yes. Copper Canyon Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Copper Canyon Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Copper Canyon Care PC, in Family Practice 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Copper Canyon Care PC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Copper Canyon Care Pc · NPI 1871386821
Geriatric Medicine organization in Shelton, Connecticut. Organization record, active in the CMS NPPES registry since May 23, 2025.
## Identity
- **NPI:** 1871386821 (Entity type: Organization)
- **Enumerated:** May 23, 2025
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Manoj Wadhwani, OWNER
## Practice location
- **Address:** 5 RESEARCH DR, Shelton, CT 06484-6232
- **Phone:** (203) 901-2493
## 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), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871386821) · Data from the CMS NPPES public registry.