Individual provider Active NPI

Gina Carlotti, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1306040373
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD439263 Issued in PA
Practice address
1211 Chestnut St Ste 405
Philadelphia, PA 19107-4114
Phone
(215) 971-2804
Fax
(215) 665-8018
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54526 CT
Family Medicine Physician 207Q00000X MD439263 PA Primary
Family Medicine Physician 207Q00000X 141045 NC
Emergency Medicine Physician 207P00000X 141045 NC
Family Medicine Physician 207Q00000X 25MA08755800 NJ

Addresses

Primary practice location

1211 Chestnut St Ste 405
Philadelphia, PA 19107-4114

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

607 Main Ave
Norwalk, CT 06851-1058
Phone (203) 845-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140626001045 NJ Practitioner - Family Practice 8729275391 Reassigns benefits to 1 organization
I20141222002095 PA Practitioner - Family Practice 8729275391 Reassigns benefits to 1 organization
I20160914001278 CT Practitioner - Family Practice 8729275391

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141045NCMDEmergency Medicine Physician
54526CTMDFamily Medicine Physician
MD439263PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation CurrentSince Jan 8, 2024 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2015 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jan 8, 2024 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1211 Chestnut St
Ste 405
Philadelphia, PA 19107
Phone (215) 971-2804

Organizations & group practices 4

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1306040373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CHESTNUT ST STE 405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074114",
            "telephone_number": "215-971-2804",
            "fax_number": "215-665-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068511058",
            "country_code": "US",
            "telephone_number": "203-845-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLOTTI",
        "first_name": "GINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "54526",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD439263",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "141045",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "141045",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08755800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.