Anwesh Babu Poosala
Anesthesiology in Derby, CT. Individual provider (NPI-1).
NPI number1104455252
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1104455252
- Entity type
- Individual (NPI-1)
- Name
- Anwesh Babu Poosala
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | D0100251 | MD | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
130 Division StDerby, CT 06418-1326
Phone 203-732-7327
Mailing address
802 1st St Sw Apt No8Rochester, MN 55902-0308
Phone 703-231-8936
Other practice locations
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Hagerstown, MD 21742-6710
Phone 301-790-8000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Anesthesiology Physician providers in Derby, CT
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- Griffin Anesthesia Associates PCNPI 1124079421
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- Merton A Smith, MDNPI 1780636647
All 6 Anesthesiology Physician providers in Derby · All 536 providers in Derby
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