Active NPI
Gerald I Shulman, MD
- Endocrinology, Diabetes & Metabolism Physician
- New Haven, CT
National Provider Identifier
1235112319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 027683
- Practice address
- 789 Howard Ave
Dana Building, 3Rd Floor
New Haven, CT 06519-1304 - Phone
- (203) 737-1932
- Fax
- (203) 785-3588
- NPI assigned
- Nov 22, 2005
- Last updated
- Mar 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 027683 | CT | Primary |
Addresses
Primary practice location
789 Howard Ave
Dana Building, 3Rd Floor
New Haven, CT 06519-1304
Mailing address
Yale School of Medicine, Dept of Internal Medicine
Tac, Room S269, PO Box 208020
New Haven, CT 06520-8020
Phone (203) 785-5447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001276831 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027683 | CT | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1235112319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "YALE SCHOOL OF MEDICINE, DEPT OF INTERNAL MEDICINE",
"address_2": "TAC, ROOM S269, PO BOX 208020",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208020",
"telephone_number": "203-785-5447",
"fax_number": "203-785-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 HOWARD AVE",
"address_2": "DANA BUILDING, 3RD FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191304",
"telephone_number": "203-737-1932",
"fax_number": "203-785-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULMAN",
"first_name": "GERALD",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CT",
"license": "027683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001276831",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.