Avanta Clinic LLC
NPI 1619467826 · Internal Medicine Physician · Glastonbury, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avanta Clinic LLC is a Internal Medicine Physician organization in Glastonbury, CT (NPI 1619467826).
Provider details
- NPI number
- 1619467826
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sudeep Bansal, Owner(860) 430-5599
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-14
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Frequently asked questions
- What is Avanta Clinic LLC's NPI number?
- Avanta Clinic LLC's National Provider Identifier (NPI) is 1619467826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avanta Clinic LLC?
- Avanta Clinic LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Avanta Clinic LLC located?
- Avanta Clinic LLC's practice location on file with NPPES is 131 New London Tpke Ste 105, Glastonbury, CT 06033.
- What is Avanta Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Avanta Clinic LLC is (860) 430-5599.
- Does Avanta Clinic LLC accept Medicare?
- Avanta Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Avanta Clinic LLC?
- The authorized official listed on Avanta Clinic LLC's NPPES record is Sudeep Bansal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avanta Clinic LLC's NPI active?
- Yes — Avanta Clinic LLC's NPI (1619467826) is active in the NPPES registry as of the last update on 2026-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.