Individual provider Active NPI

Carla Rae Gunn, M.D.

  • Obstetrics & Gynecology Physician
  • Manchester, CT
National Provider Identifier
1447443494
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
049086 Issued in CT
Practice address
388 W Center St
Manchester, CT 06040-4735
Phone
(860) 649-1120
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 049086 CT Primary

Addresses

Primary practice location

388 W Center St
Manchester, CT 06040-4735

Mailing address

16 Kenmore Rd
Bloomfield, CT 06002-2136
Phone (860) 286-1116

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
I20110413000529 CT Practitioner - Obstetrics/Gynecology 8628252830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Services IncGroup PAC ID 3870564172, 29 clinicians

Practice addresses (Care Compare)

500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 249-9625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049086CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Services, Inc. Obstetrics & Gynecology CurrentSince Jul 15, 2024 Accepting new patients
Community Health Services, Inc. Obstetrics & Gynecology CurrentSince Jul 15, 2024 Accepting new patients

Locations

500 Albany Ave
Hartford, CT 06120
Phone (860) 249-9625

Interoperability endpoints

  • Direct secure messaging: carla.gunn.p1@direct.chs.nextgenshare.com

Organizations & group practices 2

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1447443494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KENMORE RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022136",
            "telephone_number": "860-286-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 W CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404735",
            "telephone_number": "860-649-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "CARLA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "049086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.