Individual provider Active NPI

Gary J Kaml, MD

  • Surgery Physician
  • New Haven, CT
National Provider Identifier
1104870534
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
039646 Issued in CT
Practice address
330 Orchard St
Suite #309
New Haven, CT 06511-4417
Phone
(203) 776-4677
Fax
(203) 867-5507
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 039646 CT Primary

Addresses

Primary practice location

330 Orchard St
Suite #309
New Haven, CT 06511-4417

Mailing address

330 Orchard St
Suite #309
New Haven, CT 06511-4417
Phone (203) 776-4677

Other identifiers 17

IdentifierTypeStateIssuer
7177298OtherCTAETNA - PPO
TINOtherNATIONAL PROVIDER NETWORK
010039646CT05OtherCTANTHEM BC/BS
1142234OtherCTAETNA - HMO
TINOtherNEHCA HMC/ PPO
TINOtherNORTHEASTT HEALTH DIRECT
2V6969OtherCTHEALTH NET
39646OtherCTCONNECTICARE
8832980OtherCTCIGNA
TINOtherUNITED HEALTHCARE
TINOtherPOMCO
512H51OtherCTEMPIRE BC/BS
P2531809OtherCTOXFORD HEALTH PLAN
TINOtherBETTER HEALTH ADVANTAGE
TINOtherFOCUS- CONCENTRA
TINOtherPRIVATE HEALTHCARE SYSTEM
TINOtherFIRST HEALTH / CCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060208000684 CT Practitioner - General SurgeryPractitioner - Other (Physician) 5597770768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

330 Washington St
Suite 420
Norwich, CT 06360-2700
Phone (860) 886-0660

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039646CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The William W Backus Hospital CurrentSince May 1, 2021 Accepting new patients
William W Backus Hospital CurrentSince May 1, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgery CurrentSince Apr 26, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 30, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Apr 26, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 30, 2017 Accepting new patients
Saint Raphael Faculty Physicians Surgery Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Surgery Past Accepting new patients
Hartford Healthcare Medical Group, Inc Surgery Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

1055 Post Rd
Fairfield, CT 06824
Phone (203) 254-1055

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

401 Monroe Tpke
Monroe, CT 06468
Phone (203) 261-1727

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

330 Washington St
Ste 420
Norwich, CT 06360
Phone (860) 886-0660

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

196 Parkway S
Unit 201B
Waterford, CT 06385

Interoperability endpoints

  • Direct secure messaging: gary.kaml@xdr.hhchealthdirect.org

Organizations & group practices 9

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 3

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1104870534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ORCHARD ST",
            "address_2": "SUITE #309",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114417",
            "telephone_number": "203-776-4677",
            "fax_number": "203-867-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ORCHARD ST",
            "address_2": "SUITE #309",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114417",
            "telephone_number": "203-776-4677",
            "fax_number": "203-867-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAML",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "039646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - PPO",
            "identifier": "7177298",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NETWORK",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010039646CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "1142234",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEHCA HMC/ PPO",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEASTT HEALTH DIRECT",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V6969",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "39646",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8832980",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "512H51",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P2531809",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH ADVANTAGE",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOCUS- CONCENTRA",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH / CCN",
            "identifier": "TIN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.