Sachin B Modi (NPI# 1699189670, PAC ID# 1355667544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699189670 |
| PAC ID by PECOS | 1355667544 |
| Professional Enrollment ID | I20171220000646 |
| Full Name | Sachin B Modi |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Address |
38 E Ave New Canaan CT 06840-5516 |
| Phone Number | 2035949520 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4789597691 |
| Number of Group Practice Members | 567 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070006 | STAMFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 74 Newtown Rd, Danbury, CT 06810-6237 | 2038268434 | CTUC01 |
| 1055 Post Rd, Fairfield, CT 06824-6019 | 2032593440 | ST. VINCENTS URGENT CARE LLC |
| 38 E Ave, New Canaan, CT 06840-5516 | 2035949520 | WESTERN CONNECTICUT MEDICAL GROUP INC |
| 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | 2032764925 | EMERGENCY MEDICINE PHYSICIANS OF FAIRFIELD COUNTY, LLC |
| 179 Talcottville Rd, Vernon, CT 06066-4615 | 8609867600 | CTUC01 |
| 830 Post Rd E, Westport, CT 06880-5222 | 2032913800 | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Physicians | 551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Jean Moore | Nurse Practitioner | Western Connecticut Medical Group Inc | 95 Locust Ave, Danbury, CT 06810-6148 |
| Patrice Thornton | Internal Medicine | Western Connecticut Medical Group Inc | 96 Route 37, New Fairfield, CT 06812 |
| Paola Ninoska Cruz Chery | Internal Medicine | Western Connecticut Medical Group Inc | 497 Westport Ave, Norwalk, CT 06851-4411 |
| Swati Srivastava | Family Medicine | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Jasmina Krstic | Internal Medicine | Western Connecticut Medical Group Inc | 363 Reef Rd, Fairfield, CT 06824-6582 |
| Rachel H Chung | Family Medicine | Western Connecticut Medical Group Inc | 38 E Ave, New Canaan, CT 06840-5516 |
| Marc Joseph Casasanta | Colorectal Surgery (proctology) | Western Connecticut Medical Group Inc | 111 Osborne St, Suite 121, Danbury, CT 06810-6019 |
| Susan Olsen | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Marcos Ramiro Lamas | Endocrinology | Western Connecticut Medical Group Inc | 25 Germantown Rd, Danbury, CT 06810-5036 |
| Tatyana Axyonova | Nurse Practitioner | Western Connecticut Medical Group Inc | 830 Post Rd E, Westport, CT 06880-5222 |
| Street Address |
38 E AVE |
| City | NEW CANAAN |
| State | CT |
| Zip | 06840-5516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel H Chung | Family Medicine | Western Connecticut Medical Group Inc | 38 E Ave, New Canaan, CT 06840-5516 |
| Geraldine Simplice | Nurse Practitioner | Western Connecticut Medical Group Inc | 38 E Ave, New Canaan, CT 06840-5516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anri A Kissilenko | Psychiatry | 208 Valley Rd, New Canaan, CT 06840-3812 | |
| Jennifer Kim | Diagnostic Radiology | Glendora Radiological Assoc Inc | 35 Deacons Way, New Canaan, CT 06840-4221 |
| Donna Lcsw Dyer | Clinical Social Worker | 72 Park St, Suite 103, New Canaan, CT 06840-4532 | |
| Michele Gargan | Psychologist, Clinical | 51 Locust Ave, Suite 304, New Canaan, CT 06840-4739 | |
| Edward H Denkin | Podiatry | 51 Locust Ave, 302a, New Canaan, CT 06840-4739 | |
| Sean Awuku | Physical Therapy | Theresa Hasselrot Physical Therapy LLC | 30 Vitti St, New Canaan, CT 06840-4823 |
| Theresa P Hasselrot | Physical Therapy | Theresa Hasselrot Physical Therapy LLC | 30 Vitti St, New Canaan, CT 06840-4823 |
| David J Potucek | Physical Therapy | Theresa Hasselrot Physical Therapy LLC | 30 Vitti St, New Canaan, CT 06840-4823 |
| Sara L S Coca | Obstetrics/gynecology | Stamford Health Medical Group Inc | 161 Cherry St, New Canaan, CT 06840-4827 |
| Stephen S Gallousis | Obstetrics/gynecology | Stamford Health Medical Group Inc | 161 Cherry St, New Canaan, CT 06840-4827 |
| Find all physicians in zip 06840 | |||
| City | NEW CANAAN |
| Zip Code | 06840 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW CANAAN + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.