Gregory Gerard Decandia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

029717 Issued in CT

Practice address

1461 South Britain Road
Southbury, CT 06488-0901

Phone

(203) 586-2000

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Vermont College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of ConnecticutGroup PAC ID 8022915677, shared by 11 NPIs, 267 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Connecticut

  • Intellectual Disabilities Intermediate Care Facility
  • Southbury, CT
  • NPI 1467582072
  Medicare reassignment NPD
• State of Connecticut

  • Psychiatric Hospital
  • Bridgeport, CT
  • NPI 1720013360
  Medicare reassignment NPD
• State of Connecticut

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD
• Ipc Hospitalists of New England, P.C.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1659555266

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1003890641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 SOUTH BRITAIN ROAD/ P.O. BOX 872",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064880901",
            "telephone_number": "203-586-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 SOUTH BRITAIN ROAD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064880901",
            "telephone_number": "203-586-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECANDIA",
        "first_name": "GREGORY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "76773",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "029717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128075",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel R Brockett PHD LLC
• Kaveh Shahmohammadi Davoudi, MD
• Rebecca Dawn, MA, LPC
• Joseph De Beauvoir, M.D.
• Michael De Luca, PT
• Annmarie Delessio-Matta, D.M.D.
• Rhea Caitlin Dell'Orletta, OTR/L
• Odin Delos Reyes, D.P.M
• Christopher Edward Dembski, D.C.
• Saldy John Delariarte Deocampo, P.T

• Family Medicine Physician in Southbury, CT
• Providers in Southbury, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.