Keith Eric Gipson, M.D., PH.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

50552 Issued in CT

Practice address

99 E River Dr
5TH Floor
East Hartford, CT 06108-3288

Phone

(203) 980-0368

Fax

(860) 289-0746

NPI assigned

Oct 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MA2 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

Specialty

Anesthesiology

Education

Yale University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charter Anesthesiology LLCGroup PAC ID 2163763830, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Hospital Hospital, Bristol, CT, CCN 070029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.gipson@xdr.hhchealthdirect.org

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.

• Charter Anesthesiology LLC

  • Anesthesiology Physician
  • West Hartford, CT
  • NPI 1730674532

  MA

  Medicare reassignment Care Compare group NPD Authorized official
• Amsurg Stamford Anesthesia LLC

  • Anesthesiology Physician
  • Stamford, CT
  • NPI 1942622378
  Medicare reassignment NPD
• Anesthesiologists of Middletown, P.C.

  • Anesthesiology Physician
  • Middletown, CT
  • NPI 1851317135
  Medicare reassignment NPD
• Connecticut Gi PLLC

  • Gastroenterology Physician
  • Hartford, CT
  • NPI 1023124625
  Medicare reassignment NPD
• Integrated Anesthesia Associates LLC

  • Anesthesiology Physician
  • Shelton, CT
  • NPI 1881636397
  Medicare reassignment NPD
• Resource Anesthesiology Associates of CT PC

  • Anesthesiology Physician
  • Torrington, CT
  • NPI 1447233176
  Medicare reassignment NPD
• Stamford Anesthesiology Services, PC

  • Anesthesiology Physician
  • Stamford, CT
  • NPI 1376608448
  Medicare reassignment NPD
• Yale University

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment NPD
• Sasco Healthcare LLC

  • Ambulatory Surgical Clinic/Center
  • Southport, CT
  • NPI 1407505324
  NPD Authorized official
• Southport Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Southport, CT
  • NPI 1134857501
  NPD Authorized official
• Woodland Anesthesia Associates PC

  • Anesthesiology Physician
  • Hartford, CT
  • NPI 1437109824

  MA

  Medicare reassignment
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1124279831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR",
            "address_2": "5TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "860-282-4133",
            "fax_number": "860-289-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR",
            "address_2": "5TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "203-980-0368",
            "fax_number": "860-289-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "KEITH",
        "middle_name": "ERIC",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "50552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Gifford
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• Marguerite Gildea, APRN
• Cynthia Gillette, LCSW
• Kimberly Giordano, OTR
• Jason Glickman, RSS
• Glorious Home Assistant LLC
• Yessenia Elizabeth Gloss
• Cynthia Goetz, CNM
• Golden Springs Homecare LLC

• Anesthesiology Physician in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.

Verify at the official NPI Registry.