Gary N Grippo, D.P.M. – Podiatrist in Guilford, CT

Key facts

NPI: 1013943448
Entity type: Individual (NPI type 1)
Primary specialty: Podiatrist 213E00000X
License: 000481 (CT)
Practice address: 189 Durham Road
Guilford, CT 06437
Phone: (203) 799-3668
Fax: (203) 891-0766
NPI assigned: Jun 25, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 8

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.

Northeast Medical Group, Inc. Internal Medicine Physician · Bridgeport, CT · NPI 1043278351

Medicare reassignment CT
Advanced Footcare Center Podiatrist · Clinton, CT · NPI 1376803429

NPD (past) PODIATRIST
Advanced Footcare Center Podiatrist · East Haven, CT · NPI 1518227669

NPD (past) PODIATRIST
Advanced Footcare Center Podiatrist · Guilford, CT · NPI 1689934739

NPD (past) PODIATRIST
Advanced Footcare Center Podiatrist · Higganum, CT · NPI 1720348881

NPD (past) PODIATRIST
Alleviate Foot and Ankle Center Foot Surgery Podiatrist · East Haven, CT · NPI 1124746193

NPD (past) FOOT SURGERY
Saint Raphael Faculty Physicians Internal Medicine Physician · New Haven, CT · NPI 1932138138

NPD (past)
Saint Raphael Healthcare System Affiliated Physicians Inc Neurology Physician · New Haven, CT · NPI 1063744001

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20070515000172	CT	Practitioner - Podiatry	2769453554	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
000481	CT	MD	Podiatrist

Practice roles

Organization	Specialty	Status	New patients
Advanced Footcare Center	Podiatrist	Past	Accepting new patients
Advanced Footcare Center	Podiatrist	Past	Accepting new patients
Saint Raphael Faculty Physicians		Past	Accepting new patients
Advanced Footcare Center	Podiatrist	Past	Accepting new patients
Advanced Footcare Center	Podiatrist	Past	Accepting new patients
Alleviate Foot and Ankle Center	Foot Surgery	Past since Aug 28, 2022	Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Foot Surgery Podiatrist	213ES0131X	000481	CT
Podiatrist	213E00000X	000481	CT	Yes

Addresses

Primary practice location

189 Durham Road
Guilford, CT 06437

Mailing address

189 Durham Road
Guilford, CT 06437
Phone (203) 799-3668

Other identifiers

Identifier	Type	State	Issuer
004213279	Medicaid	CT

Other providers in Guilford, CT

All providers in Guilford, CT · Podiatrist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.