Individual provider Active NPI

Gale Segarra Roberts, MD

  • Anesthesiology Physician
  • Mount Kisco, NY
National Provider Identifier
1073522009
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
228940 Issued in NY
Practice address
34 South Bedford Rd
Bedford Anesthesia PLLC
Mount Kisco, NY 10549-3408
Phone
(914) 244-6787
Fax
(914) 242-1516
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 228940 NY Primary
Pediatric Anesthesiology Physician 207LP3000X 228940 NY

Addresses

Primary practice location

34 South Bedford Rd
Bedford Anesthesia PLLC
Mount Kisco, NY 10549-3408

Mailing address

110 South Bedford Rd
Bedford Anesthesia PLLC
Mount Kisco, NY 10549-3446
Phone (914) 244-6787

Other identifiers 1

IdentifierTypeStateIssuer
DB5589OtherNYGROUP MEDICARE RAILROAD

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
I20060919000496 NY Practitioner - Anesthesiology 1759386022 Reassigns benefits to 1 organization
I20190412000369 CT Practitioner - Anesthesiology 1759386022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Pennsylvania State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Anesthesia Associates LLCGroup PAC ID 1759281165, 402 clinicians

Practice addresses (Care Compare)

2800 Main St
Bridgeport, CT 06606-4201
Phone (877) 442-2455

80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117

Hospital & facility affiliations

  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228940NYMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 1, 2016 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 1, 2016 Accepting new patients
Adamson Medical Corporation PC Past Accepting new patients

Locations

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (860) 282-4128

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787

110 S Bedford Rd
#P
Mount Kisco, NY 10549

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

34 S Bedford Rd
#P
Mount Kisco, NY 10549
Phone (914) 244-6789

Philadelphia, PA 19195

Organizations & group practices 4

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 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1073522009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH BEDFORD RD",
            "address_2": "BEDFORD ANESTHESIA PLLC",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493446",
            "telephone_number": "914-244-6787",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SOUTH BEDFORD RD",
            "address_2": "BEDFORD ANESTHESIA PLLC",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493408",
            "telephone_number": "914-244-6787",
            "fax_number": "914-242-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARRA ROBERTS",
        "first_name": "GALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "228940",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "228940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE RAILROAD",
            "identifier": "DB5589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.