Individual provider Active NPI

Alex Gitelman, MD

  • Orthopaedic Surgery of the Spine Physician
  • Stamford, CT
National Provider Identifier
1063692861
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
051367 Issued in CT
Practice address
1281 E Main St
Stamford, CT 06902-3544
Phone
(203) 325-4087
Fax
(203) 359-9941
NPI assigned
Nov 8, 2007
Last updated
May 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 051367 CT
Orthopaedic Surgery of the Spine Physician 207XS0117X 051367 CT Primary

Addresses

Primary practice location

1281 E Main St
Stamford, CT 06902-3544

Mailing address

1281 E Main St
Stamford, CT 06902-3544
Phone (203) 325-4087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110421000640 NY Practitioner - Orthopedic Surgery 9739233891 Reassigns benefits to 1 organization
I20121025000032 CT Practitioner - Orthopedic Surgery 9739233891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York Downstate Medical Center, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

1281 E Main St
Stamford, CT 06902-3544
Phone (203) 325-4087

2700 Westchester Ave
FL 3
Purchase, NY 10577-2547
Phone (914) 831-6815

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion273
Laminectomy or laminotomy (partial removal of spine bones)121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051367CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coreassist Solutions Current Accepting new patients
The Westchester Medical Group PC CurrentSince Jul 1, 2016 Accepting new patients
Westchester Medical Group, P.C. Orthopaedic Surgery CurrentSince Jul 1, 2016 Accepting new patients
Beacon Hill Orthopedics PLLC Orthopaedic Surgery Past Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients
Orthopaedic Associates of Stamford PC Orthopaedic Surgery PastSince Sep 1, 2011 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

1281 E Main St
Stamford, CT 06902
Phone (203) 325-4087

1281 E Main St
Fl 4
Stamford, CT 06902
Phone (203) 210-2830

2700 Westchester Ave
Purchase, NY 10577
Phone (914) 607-5730

2700 Westchester Ave
Fl 3
Purchase, NY 10577
Phone (914) 831-6815

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: agitelman@hiemail.healtheconnections.org
  • Direct secure messaging: alex.gitelman.1@21260.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1063692861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 E MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023544",
            "telephone_number": "203-325-4087",
            "fax_number": "203-359-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 E MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023544",
            "telephone_number": "203-325-4087",
            "fax_number": "203-359-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITELMAN",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "051367",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CT",
            "license": "051367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.