Individual provider Active NPI

Adam Gorelick, M.D.

  • Gastroenterology Physician
  • Danbury, CT
National Provider Identifier
1356482251
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
039374 Issued in CT
Practice address
95 Locust Ave
Danbury, CT 06810-6148
Phone
(203) 739-7038
Fax
(203) 739-1961
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 039374 CT Primary

Addresses

Primary practice location

95 Locust Ave
Danbury, CT 06810-6148

Mailing address

111 Osborne St
Danbury, CT 06810-6000
Phone (203) 739-7038

Other identifiers 1

IdentifierTypeStateIssuer
001393743MedicaidCT

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
I20090513000512 CT Practitioner - GastroenterologyPractitioner - Internal Medicine 1759430135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

111 Osborne St
Suite 121
Danbury, CT 06810-6019
Phone (203) 739-7038

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Upper gastrointestinal (GI) endoscopy for acid reflux102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039374CTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Gastroenterology CurrentSince Jun 11, 2012 Accepting new patients
Connecticut Gastroenterology Consultants, P.C. Gastroenterology Current Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients
Yale University PastSince Jun 11, 2012 Accepting new patients
Saint Raphael Faculty Physicians Gastroenterology Past Accepting new patients

Locations

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

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

111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010

95 Locust Ave
Danbury, CT 06810
Phone (203) 739-7029

40 Temple St
Ste 4A
New Haven, CT 06510
Phone (203) 777-0304

901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967

22 Old Waterbury Rd
Southbury, CT 06488
Phone (203) 262-4200

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1356482251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OSBORNE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106000",
            "telephone_number": "203-739-7038",
            "fax_number": "203-739-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LOCUST AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106148",
            "telephone_number": "203-739-7038",
            "fax_number": "203-739-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELICK",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "039374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001393743",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.