Individual provider Active NPI

Gail Elizabeth Morandi Fennell, M.D.

  • Internal Medicine Physician
  • Rye Brook, NY
National Provider Identifier
1053382978
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
294475-1 Issued in NY
Practice address
90 S Ridge St Ste 201
Rye Brook, NY 10573-2811
Phone
(914) 305-9098
Fax
(914) 481-1402
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 294475-1 NY Primary
Internal Medicine Physician 207R00000X 034225 CT

Addresses

Primary practice location

90 S Ridge St Ste 201
Rye Brook, NY 10573-2811

Mailing address

90 S Ridge St Ste 201
Rye Brook, NY 10573-2811
Phone (914) 305-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20181102001208 NY Practitioner - Internal Medicine 9436205432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group, PLLCGroup PAC ID 6204095201, 16 clinicians

Practice addresses (Care Compare)

90 S Ridge St
Rye Brook, NY 10573-2811
Phone (914) 251-1100

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034225CTMDInternal Medicine Physician
294475-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Greenwich Medical Group Internal Medicine Current Accepting new patients
Northeast Medical Group, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

75 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 661-3333

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

Interoperability endpoints

  • Direct secure messaging: gail.fennell.1@14071.direct.athenahealth.com
  • Direct secure messaging: gfennell5998@direct.ynhh.org

Organizations & group practices 2

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 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1053382978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST STE 201",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732811",
            "telephone_number": "914-305-9098",
            "fax_number": "914-481-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST STE 201",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732811",
            "telephone_number": "914-305-9098",
            "fax_number": "914-481-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH MORANDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294475-1",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "034225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.