Individual provider Active NPI

Patrice S Gillotti, MD

  • Obstetrics & Gynecology Physician
  • Danbury, CT
National Provider Identifier
1194828293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
028866 Issued in CT
Practice address
90 Locust Avenue
Danbury, CT 06810
Phone
(203) 792-5005
Fax
(203) 791-9899
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 028866 CT Primary

Addresses

Primary practice location

90 Locust Avenue
Danbury, CT 06810

Mailing address

90 Locust Avenue
Danbury, CT 06810
Phone (203) 792-5005

Other identifiers 1

IdentifierTypeStateIssuer
001288663MedicaidCT

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
I20090903000133 CT Practitioner - Obstetrics/Gynecology 1557416138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028866CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Jul 20, 1998 Accepting new patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Dec 10, 2019 Accepting new patients
Danbury Radiological Associates, PC PastSince Jul 20, 1998 Accepting new patients

Locations

94 Locust Ave
Danbury, CT 06810
Phone (203) 748-6000

90 Locust Ave
Danbury, CT 06810
Phone (203) 792-5005

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

38B Grove St
Ridgefield, CT 06877
Phone (203) 438-0458

Interoperability endpoints

  • Direct secure messaging: patrice.gillotti.1@10170.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194828293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LOCUST AVENUE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-792-5005",
            "fax_number": "203-791-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LOCUST AVENUE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-792-5005",
            "fax_number": "203-791-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOTTI",
        "first_name": "PATRICE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "028866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001288663",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.