NPIMap

Individual provider Active NPI

Kimberly Christine Gygi, DO

  • Family Medicine Physician
  • Windsor, CT
National Provider Identifier
1356600787
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
054177 Issued in CT
Practice address
851 Marshall Phelps Rd
Windsor, CT 06095-2108
Phone
(860) 683-0756
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101019795 MI
Student in an Organized Health Care Education/Training Program 390200000X 5101019795 MI
Family Medicine Physician 207Q00000X 054177 CT Primary

Addresses

Primary practice location

851 Marshall Phelps Rd
Windsor, CT 06095-2108

Mailing address

851 Marshall Phelps Rd
Windsor, CT 06095-2108
Phone (860) 683-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904000945 CT Practitioner - Family Practice 2365674934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians
MHS Primary Care, Inc.Group PAC ID 4082507371, shared by 4 NPIs, 180 clinicians

Practice addresses (Care Compare)

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

70 Shunpike Rd
Cromwell, CT 06416-2416
Phone (860) 358-5280

76 Watertown Rd
Thomaston, CT 06787-1826
Phone (860) 880-8091

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Starling Physicians PLLC CurrentSince Oct 1, 2018 Accepting new patients
Prohealth Physicians PC Family Medicine CurrentSince Aug 17, 2015 Accepting new patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

2110 Silas Deane Hwy
Rocky Hill, CT 06067

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

851 Marshall Phelps Rd
Windsor, CT 06095
Phone (860) 683-0756

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: kimberly.gygi@xdr.hhchealthdirect.org

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.

Hospital & facility affiliations 5

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1356600787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MARSHALL PHELPS RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952108",
            "telephone_number": "860-683-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MARSHALL PHELPS RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952108",
            "telephone_number": "860-683-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYGI",
        "first_name": "KIMBERLY",
        "middle_name": "CHRISTINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019795",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5101019795",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "054177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

Verify at the official NPI Registry.