NPIMap

Individual provider Active NPI

Edmund Anthony Ganal, M.D.

  • Orthopaedic Surgery Physician
  • New Milford, CT
National Provider Identifier
1003808767
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
055152 Issued in CT
Practice address
131 Kent Rd
New Milford, CT 06776-3485
Phone
(860) 355-8000
Fax
(860) 350-6291
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 055152 CT Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 055152 CT

Addresses

Primary practice location

131 Kent Rd
New Milford, CT 06776-3485

Mailing address

131 Kent Rd
New Milford, CT 06776-3485
Phone (860) 355-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711002147 CT Practitioner - Orthopedic Surgery 6002097847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthoconnecticut PLLCGroup PAC ID 1850369018, 82 clinicians

Practice addresses (Care Compare)

131 Kent Rd
New Milford, CT 06776-3485
Phone (860) 355-8000

Hospital & facility affiliations

  • Rvnahealth Home health agency, Ridgefield, CT, CCN 077066
  • Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

Merit-based Incentive Payment System (MIPS)

Final score
50.95 of 100Reported as individual
Quality
42.29
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
055152CTMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoconnecticut, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
Orthoconnecticut, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
Orthoconnecticut, PLLC Orthopaedic Surgery Past Accepting new patients

Locations

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

226 White St
Danbury, CT 06810
Phone (203) 743-8817

131 Kent Rd
New Milford, CT 06776
Phone (860) 350-3330

45 Danbury Rd
Ste 100
Wilton, CT 06897

Interoperability endpoints

  • Direct secure messaging: eganal@doa1744.srs-direct.com
  • Direct secure messaging: eganal@nmoa1615.srs-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1003808767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 KENT RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763485",
            "telephone_number": "860-355-8000",
            "fax_number": "860-350-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 KENT RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763485",
            "telephone_number": "860-355-8000",
            "fax_number": "860-350-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAL",
        "first_name": "EDMUND",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "055152",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CT",
            "license": "055152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.