Alexander Rudolf Gaudio, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

011792 Issued in CT

Practice address

1043 Farmington Ave
West Hartford, CT 06107-2110

Phone

(860) 549-2020

Fax

(860) 549-2025

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

Yale University School of Medicine, 1963

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Disease Consultants, LLCGroup PAC ID 3870486079, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.51 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.14

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexander.gaudio@xdr.hhchealthdirect.org

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.

• Eye Disease Consultants, LLC

  • Ophthalmology Physician
  • West Hartford, CT
  • NPI 1487621819
  Medicare reassignment Care Compare group NPD
• Hartford Hospital

  • Surgery Physician
  • Hartford, CT
  • NPI 1407806391
  Medicare reassignment NPD
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Medicare reassignment NPD
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  NPD
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  NPD (past)
• Massachusetts Eye and Ear Associates, Inc.

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1932574332
  NPD (past)
• South Suburban Ear, Nose & Throat Assoc Inc

  • Otolaryngology Physician
  • South Weymouth, MA
  • NPI 1568572907
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467454728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072110",
            "telephone_number": "860-549-2020",
            "fax_number": "860-549-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072110",
            "telephone_number": "860-549-2020",
            "fax_number": "860-549-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Seymour St",
            "address_2": "Ste 522",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061065524",
            "country_code": "US",
            "telephone_number": "860-549-2020",
            "fax_number": "860-549-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUDIO",
        "first_name": "ALEXANDER",
        "middle_name": "RUDOLF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CT",
            "license": "011792",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "011792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004242492",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9736841",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Gannatti, DDS
• Darwin Garcia-Nunez
• Rocio Del Carmen Garcia, RN
• Gary E Russolillo MD PC
• Dori Gatter, LPC
• Christine Palluotto Gaudio, LCSW
• Odell Gauntlett, RN
• Jodyan K Gaynor, MA
• Sonia Gaztambide, MPH
• Myrnel Gegu, LCSW

• Ophthalmology Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.