Dr. Shovendra Gautam
Hospitalist

Address: 100 Grand St, New Britain, CT 06052-2016
Phone: 8602245011

Dr. Shovendra Gautam (NPI# 1184936270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1184936270
Entity Type Individual
Full Name Dr. Shovendra Gautam
Credential MD
Gender Male
Practice Address 100 Grand St
New Britain
CT 06052-2016
Practice Telephone 8602245011
Mailing Address 24 Hospital Ave
Apt 102
Danbury
CT 06810-6099
Mailing Telephone 4844781213
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2010-07-06
Last Update Date 2010-07-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 48882 CT
Yes 208M00000X Hospitalist Allopathic & Osteopathic Physicians 48882 CT

Physician Overview

NPI 1184936270
PAC ID by PECOS 7315139664
Professional Enrollment ID I20101005001293
Full Name Shovendra Gautam
Organization Legal Name THE HOSPITAL OF CENTRAL CONNECTICUT
Gender M
Graduation Year 2005
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 6507776564
Number of Group Practice Members 153
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070035 THE HOSPITAL OF CENTRAL CONNECTICUT

Office Location

Street Address 100 GRAND ST
City NEW BRITAIN
State CT
Zip Code 06052-2016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083185060 Nicole-christin Dujon Physician Assistant 100 Grand St, New Britain, CT 06052-2016 2018-12-17
1033684063 Rutland Dialysis LLC Clinic/Center 100 Grand St, New Britain, CT 06052-2016 2018-10-05
1134604937 Andrew Sampiere Social Worker 100 Grand St, New Britain, CT 06052-2016 2018-09-27
1346732716 Cristiana Clark Nurse Practitioner 100 Grand St, New Britain, CT 06052 2018-06-01
1437649589 Joseph Anthony Anastasio Nurse Anesthetist, Certified Registered 100 Grand St, New Britain, CT 06052 2018-05-15
1093212946 Karina Monica Alino Borromeo Student in an Organized Health Care Education/Training Program 100 Grand St, New Britain, CT 06052-2016 2018-04-08
1659878593 Yuewen Ding Student in an Organized Health Care Education/Training Program 100 Grand St, New Britain, CT 06052-2016 2018-04-08
1003314121 Amy Canino Physician Assistant 100 Grand St, New Britain, CT 06052-2016 2018-01-23
1588180319 Raymond Doyle Nurse Practitioner 100 Grand St, New Britain, CT 06052-2016 2017-08-14
1306360193 Anthony Joseph Vannucci Physician Assistant 100 Grand St, New Britain, CT 06052-2016 2017-08-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265927826 Marie Susie Gustin Psychologist 365 Shuttle Meadow Ave, New Britain, CT 06052 2018-06-26
1942711718 Ashley R Stevens Nurse Practitioner 22 Cedar St., New Britain, CT 06052 2017-10-19
1740710417 Roxanne Guzze Pharmacy Technician 470 Hartford Road, New Britain, CT 06052 2017-06-15
1417483165 Liberty Integrated Behavioral Health, LLC Nurse Practitioner 18 Hart St., New Britain, CT 06052 2017-05-02
1518233022 Kristy Messier Counselor 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 2012-03-29
1629374178 Liberty Healthcare, LLC Nurse Practitioner 18 Hart St, New Britain, CT 06052 2011-02-01
1528207800 Colleen M Picone Social Worker 55 Winthrop Street, New Britain, CT 06052 2009-02-11
1902073166 Joseph Paladino Durable Medical Equipment & Medical Supplies 39 Brooklawn St, New Britain, CT 06052 2008-05-15
1861667768 Elizabeth Kartsen Audiologist 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 2008-04-23
1306979257 Lucyna T Kolakowska Internal Medicine 247 West Main Street, New Britain, CT 06052 2007-03-13
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205221728 Umar Mahmud Hospitalist 100 Grand St, New Britain, CT 06052 2015-04-01
1407182249 Young Jay Kwak Hospitalist 300 Kensington Ave, New Britain, CT 06051 2009-10-29
1730120494 Priya P Roy Hospitalist 300 Kensington Ave, Grove Hill Medical Center, New Britain, CT 06051-3916 2006-06-10
1326014630 Elizabeth A Tillman Hospitalist 100 Grand St, Hospital of Central Connecticut, Dept. of Medicine, New Britain, CT 06052-2016 2006-02-27
1285600015 Daniel C Kombert Hospitalist 100 Grand St, New Britain, CT 06052-2016 2006-02-23
1316925985 Hamid Majdizadeh Hospitalist 100 Grand St, Ondrea Chasse, Medical Staff Office, New Britain, CT 06052-2016 2006-01-04
1508855685 Howard N Baker Hospitalist 100 Grand St, New Britain, CT 06052-2016 2005-10-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407338882 Liming Zeng Hospitalist 38 Dundee Dr, Cheshire, CT 06410-1574 2018-09-03
1265853154 Roshani Patel Hospitalist 64 Robbins St, Waterbury, CT 06708-2613 2013-12-19
1265771752 Marina Davitiani Hospitalist 1 Kennedy Avenue, Apt 1219, Danbury, CT 06810-3611 2013-02-04
1952659039 Fernando Barahona Hospitalist 38 Bungalow Park, Stamford, CT 06902-6244 2012-08-21
1326327651 Karthik Gnanapandithan Hospitalist 20 York Sreet, Cb-2041, North Haven, CT 06510-3220 2011-08-04
1114231636 Oluwadamilola Abisola Olowoyo Hospitalist 74b Locust Ave, Danbury, CT 06810 2010-07-27
1811200025 Lotachukwu Rosemary Ojide Hospitalist 10 Cross Dr, East Hartford, CT 06118-2717 2010-07-16
1346552189 Amarnathreddy Annapureddy Hospitalist 4231 Avalon Dr E, Orange, CT 06477-3674 2010-07-09
1316273485 Jennifer Brook Hospitalist 20 York Street (cb-2041), New Haven, CT 06510 2009-10-26
1770748170 Ameeruddin Shams Hospitalist 38 Nottingham Blvd, Unionville, CT 06085-1185 2008-07-24
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Competitor

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City NEW BRITAIN
Zip Code 06052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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