Individual provider Active NPI

Stephanie Gort, PA-C

  • Physician Assistant
  • West Hartford, CT
National Provider Identifier
1043610462
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
60 Barksdale Rd
West Hartford, CT 06117-1607
Phone
(860) 985-4188
NPI assigned
Sep 4, 2014
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

60 Barksdale Rd
West Hartford, CT 06117-1607

Mailing address

60 Barksdale Rd
West Hartford, CT 06117-1607
Phone (860) 985-4188

Other names 1

  • Ms. Stephanie Levy Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122001251 CT Practitioner - Physician Assistant 6800112244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Gi PLLCGroup PAC ID 9830110758, 243 clinicians

Practice addresses (Care Compare)

300 Western Blvd
Glastonbury, CT 06033-4305
Phone (860) 657-1920

6 Northwestern Dr
Suite 302
Bloomfield, CT 06002-3428
Phone (860) 243-5600

85 Seymour St
Suite 1000
Hartford, CT 06106-5529
Phone (860) 246-2571

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 1, 2022 Accepting new patients
Pounds, Medical Weight Loss Transformation, PC Past Accepting new patients

Locations

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25497/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.gort@xdr.hhchealthdirect.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1043610462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BARKSDALE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171607",
            "telephone_number": "860-985-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BARKSDALE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171607",
            "telephone_number": "860-985-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORT",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LEVY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.