NPIMap

Individual provider Active NPI

Gary Alan Spector, MD

  • Internal Medicine Physician
  • Milford, CT
National Provider Identifier
1093816175
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035494 Issued in CT
Practice address
40 Commerce Park
Milford, CT 06460
Phone
(203) 878-3531
Fax
(203) 876-2169
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 035494 CT Primary

Addresses

Primary practice location

40 Commerce Park
Milford, CT 06460

Mailing address

40 Commerce Park
Milford, CT 06460
Phone (203) 878-3531

Other identifiers 3

IdentifierTypeStateIssuer
1354943MedicaidCT
708898OtherCTHMO CONNECTICARE
01035494OtherCTHMO CIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110414000523 CT Practitioner - Internal Medicine 4486838588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine of Milford PCGroup PAC ID 6507834306, 8 clinicians

Practice addresses (Care Compare)

40 Commerce Park
Milford, CT 06460-3535
Phone (203) 878-3531

Hospital & facility affiliations

  • Stratford Vna Home health agency, Stratford, CT, CCN 077001
  • Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035494CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Milford, P.C. Internal Medicine CurrentSince Nov 6, 1996 Accepting new patients

Locations

40 Commerce Park
Ste 1
Milford, CT 06460
Phone (203) 878-3531

40 Commerce Park
Milford, CT 06460
Phone (203) 878-3531

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJBDAA
  • Direct secure messaging: gary.spector@imm.eclinicaldirectplus.com

Organizations & group practices 1

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 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1093816175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-878-3531",
            "fax_number": "203-876-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-878-3531",
            "fax_number": "203-876-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "035494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1354943",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO CONNECTICARE",
            "identifier": "708898",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO CIGNA",
            "identifier": "01035494",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.