James Paul Gadzik, M.D.
Individual provider Active NPI Surgery Physician · Westport, CT
NPI 1114067907 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114067907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 024671 (CT)
- Practice address
- 125 Kings Hwy N
Westport, CT 06880-2428 - Phone
- (203) 226-0771
- Fax
- (203) 226-0417
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Perelman School of Med at the University of Pennsylvania, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
149 E Ave
Suite 20
Norwalk, CT 06851-5711
Phone (203) 226-0771
Hospital & facility affiliations
- Norwalk Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 11 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111202000023 | CT | Practitioner - General Surgery | 5799950796 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024671 | CT | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 024671 | CT | Yes |
Addresses
Primary practice location
125 Kings Hwy N
Westport, CT 06880-2428
Mailing address
125 Kings Hwy N
Westport, CT 06880-2428
Phone (203) 226-0771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083609 | Other | AETNA | |
| 00124671900 | Other | BCBS FAMILY PLAN | |
| 010024671CT01 | Other | ANTHEM BCBS | |
| ZS101 | Other | OXFORD | |
| 020614 | Other | ACS-HEALTHNET |
Other providers in Westport, CT
- Emily Fuehring
- Tanya S Futoryan
- Julie S. Gabriel
- Nicole L Gabriel
- Genevieve Carino Gacula
- Lindsay Gadzik
- Susan Marie Gaffney
- Margaret M Galiani
- Cornelia Lucia Gallo
- Galvan Henkin LLC
All providers in Westport, CT · Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.