CHAMPAKAMALA HONGANUR RAJANNA (M.D.,) – Psychiatry Physician, NPI 1598044133

CHAMPAKAMALA HONGANUR RAJANNA (M.D.,) is a healthcare provider. based in Mansfield center, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials M.D.,. They hold a License No. 0116024030 (VA). The NPI Number for CHAMPAKAMALA HONGANUR RAJANNA (M.D.,) is 1598044133

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
CHAMPAKAMALA HONGANUR RAJANNA (M.D.,)
NPI
1598044133
Phone
(646) 685-6671
Address
189 STORRS RD
Enumeration Date
14 August 2011
Last Update Date
23 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604561311
Graduation Year
1997 (29 years ago)
PAC ID
9335382639
Group Practice PAC ID
5395648737
Professional Enrollment ID
I20160302000567
Address ID
CT062501683MA189XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

851 PSYCHIATRY in CT

Provider Addresses for CHAMPAKAMALA HONGANUR RAJANNA (M.D.,)

  • 189 STORRS RD

    MANSFIELD CENTER, CT 062501683

    Phone: (646) 685-6671

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Indivior Inc. ($147).

Total Amount

$147

General + Research + Ownership

Payments

5

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$147
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160302000567IPsychiatryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06250)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395648737View full group profile
NameSpecialtyState
P S Y C H I A T R YCT
P S Y C H I A T R YOR
P S Y C H I A T R YTX
P S Y C H I A T R YMA
P S Y C H I A T R YNY
P S Y C H I A T R YCT
-CT
P S Y C H I A T R YNY
P S Y C H I A T R YCT
-RI

Reviews

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Frequently asked questions

How do payers reference CHAMPAKAMALA HONGANUR RAJANNA (M.D.,)?
For CHAMPAKAMALA HONGANUR RAJANNA (M.D.,), use NPI 1598044133 as the unique 10-digit identifier.
Would CHAMPAKAMALA HONGANUR RAJANNA (M.D.,) appear as active to a payer?
You can treat CHAMPAKAMALA HONGANUR RAJANNA (M.D.,) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CHAMPAKAMALA HONGANUR RAJANNA (M.D.,)?
CHAMPAKAMALA HONGANUR RAJANNA (M.D.,) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CHAMPAKAMALA HONGANUR RAJANNA (M.D.,)?
Directory geography for CHAMPAKAMALA HONGANUR RAJANNA (M.D.,) centers on Mansfield Center, Connecticut.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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