SUMIT TICKOO (NPI# 1588869424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588869424 |
| Entity Type | Individual |
| Full Name | SUMIT TICKOO |
| Credential | MD |
| Practice Address |
24 Hospital Ave Danbury CT 06810-6099 |
| Mailing Address |
24 Hospital Ave Danbury CT 06870 |
| Practice Telephone | 2037396959 |
| Mailing Telephone | 2037397436 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
44573 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
44573 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 044573 | 01 |
| CT | 008032248 | 05 | |
| CT | RR MEDICARE | PENDING CLAIM | 01 |
| CT | AETNA | 9244670 | 01 |
| CT | OXFORD | P4525993 | 01 |
| ECFMG CERTIFICATE # | 0-625-499-9 | 01 | |
| CT | COVENTRY/FIRST HEALTH | 02289243 | 01 |
| CT | ANTHEM BCBS CT | 010044573CT05 | 01 |
| CT | USA | 1167116 | 01 |
| CT | CIGNA | 7196206 | 01 |
| Street Address |
24 HOSPITAL AVE |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526933 | Timothy Hendrie | Nurse Anesthetist, Certified Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2005-05-24 |
| 1144837493 | Xavian Terrence Shaw Jr. | Registered Nurse | 24 Hospital Ave, Danbury, CT 06810-6077 | 2020-09-29 |
| 1275141624 | Megan Mirgorodsky | Dietitian, Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-07-21 |
| 1053939348 | Kristen Liederbach | Nurse Anesthetist, Certified Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-07-13 |
| 1558988170 | Robynne M. Pivec Quinn | Counselor | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-06-30 |
| 1891318200 | Benjamin Striano | Speech-Language Pathologist | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-05-20 |
| 1407478423 | Danielle Jenna Kupperman | Genetic Counselor, MS | 24 Hospital Ave, Danbury, CT 06810-6077 | 2020-05-13 |
| 1588286801 | Manush Ohanyan | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury Hospital, Danbury, CT 06810-6099 | 2020-05-08 |
| 1447871033 | Maun Ranjan Baral | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-05-05 |
| 1124647359 | Kamana Acharya | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154358356 | Hal S Wasserman | Internal Medicine | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-06-26 |
| 1932141249 | Mark K Warshofsky | Internal Medicine | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619178258 | Dragos Victor Balf | Internal Medicine | 1450 Chapel St Yale New Haven Hospital, New Haven, CT 06511 | 2007-05-30 |
| 1497818462 | Kenneth S Spector | Internal Medicine | 130 Division Street, Derby, CT 06418 | 2006-12-19 |
| 1316408545 | Cct Care of Ct, LLC | Internal Medicine | 2389 Main St, Glastonbury, CT 06033-4617 | 2019-03-29 |
| 1962763722 | Cardiology Physicians of Fairfield County LLC | Internal Medicine | 1177 Summer St, Stamford, CT 06905-5572 | 2012-06-07 |
| 1477832806 | Salman Khalid | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-08-16 |
| 1174813208 | Chirag A. Shah | Internal Medicine | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2011-04-11 |
| 1679734800 | Arzhang Fallahi | Internal Medicine | 29 Hospital Plz, Suite 502, Stamford, CT 06902-3602 | 2008-06-20 |
| 1942407853 | Talhat Azemi | Internal Medicine | 85 Seymour St, 821, Hartford, CT 06106-5527 | 2007-07-03 |
| 1629270616 | Robert Ramak Attaran | Internal Medicine | 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 | 2007-06-03 |
| 1437293453 | Michael Chrissoheris | Internal Medicine | 1450 Chapel St, Hsr Section of Cardiology Private 207, New Haven, CT 06511-4405 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
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| 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.