Active NPI
Naveen Gnanabakthan, MD
- Hospitalist Physician
- Vernon, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 54659
- Practice address
- 31 Union Street
Rockville General Hospital
Vernon, CT 06066 - Phone
- (860) 533-6595
- Fax
- (860) 533-6594
- NPI assigned
- Jul 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 54659 | CT | Primary |
Addresses
Primary practice location
31 Union Street
Rockville General Hospital
Vernon, CT 06066
Mailing address
1301 Solana Blvd BLDG. 2 Suite 2200
Sound Physicians
Westlake, TX 76262
Phone (817) 767-6115
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210929001206 | NY | Practitioner - Hospitalist | 3072807882 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Hospital & facility affiliations
- Erie County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.4 of 100
- Quality
- 72.79
- Improvement activities
- 40
- Cost
- 71.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306748 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, New York, PC | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Past | Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
515 Main St
Olean, NY 14760
Phone (716) 373-2600
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104267079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SOLANA BLVD BLDG. 2 SUITE 2200",
"address_2": "SOUND PHYSICIANS",
"city": "WESTLAKE",
"state": "TX",
"postal_code": "76262",
"telephone_number": "817-767-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 UNION STREET",
"address_2": "ROCKVILLE GENERAL HOSPITAL",
"city": "VERNON",
"state": "CT",
"postal_code": "06066",
"telephone_number": "860-533-6595",
"fax_number": "860-533-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNANABAKTHAN",
"first_name": "NAVEEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "54659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.