NPIMap

Individual provider Active NPI

Gerald A Valletta, MD

  • Internal Medicine Physician
  • Waterbury, CT
National Provider Identifier
1417991688
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035043 Issued in CT
Practice address
2247 East Main Street
Suite 103
Waterbury, CT 06705
Phone
(203) 757-3486
Fax
(206) 757-3723
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 035043 CT Primary

Addresses

Primary practice location

2247 East Main Street
Suite 103
Waterbury, CT 06705

Mailing address

2247 East Main Street
Suite 103
Waterbury, CT 06705
Phone (203) 757-3486

Other practice location 1

30 Hyde Ave Ste 109
Vernon, CT 06066-4503
Phone (860) 454-0303

Other practice location 2

30 Lafayette Sq Ste 109
Vernon Rockville, CT 06066-4554
Phone (800) 391-0599

Other identifiers 1

IdentifierTypeStateIssuer
001350438MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gvalletta222964@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040831000882 CT Practitioner - Internal Medicine 2466427620 Reassigns benefits to 4 organizations
I20241030004231 CT Practitioner - Nurse Practitioner 2466427620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Housecalls, PLLCGroup PAC ID 4284174228, 17 clinicians

Practice addresses (Care Compare)

30 Lafayette SQ
Vernon, CT 06066-4554
Phone (800) 391-0599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035043CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Reliant Housecalls, PLLC CurrentSince Oct 4, 2024 Accepting new patients
Ctuc01 CurrentSince Aug 1, 2020 Accepting new patients
Afc Physicians of Connecticut, PC Current Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Aug 1, 2019 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Aug 1, 2020 Accepting new patients
GV Medical Practice, LLC CurrentSince Oct 18, 2023 Accepting new patients
Franklin Medical Group, PC Internal Medicine Past Accepting new patients
Northeast Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

100 Mill Plain Rd
Danbury, CT 06811
Phone (203) 792-7246

17 Farmington Ave
Ste B2
Plainville, CT 06062
Phone (203) 536-6274

30 Lafayette Sq
Ste 30
Vernon, CT 06066
Phone (800) 391-0599

30 Lafayette Sq
Ste 109
Vernon Rockville, CT 06066
Phone (800) 391-0599

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: gvalletta@direct.wtbyhosp.org
  • Direct secure messaging: gerald.valletta@637.emedpractice.direct-ci.com

Organizations & group practices 9

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1417991688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 EAST MAIN STREET",
            "address_2": "SUITE 103",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06705",
            "telephone_number": "203-757-3486",
            "fax_number": "206-757-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 EAST MAIN STREET",
            "address_2": "SUITE 103",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06705",
            "telephone_number": "203-757-3486",
            "fax_number": "206-757-3723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hyde Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060664503",
            "country_code": "US",
            "telephone_number": "860-454-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Lafayette Sq Ste 109",
            "address_purpose": "LOCATION",
            "city": "Vernon Rockville",
            "state": "CT",
            "postal_code": "060664554",
            "country_code": "US",
            "telephone_number": "800-391-0599",
            "fax_number": "980-825-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLETTA",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "035043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001350438",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gvalletta222964@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "30 Hyde Ave Ste 109",
            "city": "Vernon",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060664503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.