Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ravin Defonseka, MD

Individual provider Internal Medicine Physician · NPI 1205413085

Dr. Ravin Defonseka, MD is an Internal Medicine in Stamford, Connecticut. Qualified in 2021, 5 years ago. Practices with Firstdoc PC, a 14-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Hospital Plz
Stamford, CT 06902-3602
Phone: (203) 276-7147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DR.0073481 (CO)

Record details

NPI number1205413085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address1 Hospital Plz, Stamford, CT 06902-3602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Firstdoc Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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