Active NPI
Helmuth W Gahbauer, MD
- Diagnostic Radiology Physician
- New Haven, CT
National Provider Identifier
1477545713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 020278
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-3124
- Fax
- (203) 789-4118
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 020278 | CT | Primary |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
PO Box 8416
New Haven, CT 06530-0416
Phone (203) 777-6209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001202787 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020278 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Haven Radiology Associates, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Connecticut Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| New Haven Radiology Associates PC | Past | Accepting new patients | |
| Southern Connecticut Imaging Centers LLC | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Derby, CT
- NPI 1124004031
Diagnostic Radiology
-
- Radiology Clinic/Center
- New Haven, CT
- NPI 1821081894
-
- Diagnostic Radiology Physician
- Hamden, CT
- NPI 1487039525
Diagnostic Radiology
-
- Physiological Laboratory
- Hamden, CT
- NPI 1851356919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1477545713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8416",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065300416",
"telephone_number": "203-777-6209",
"fax_number": "203-787-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114405",
"telephone_number": "203-789-3124",
"fax_number": "203-789-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAHBAUER",
"first_name": "HELMUTH",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "020278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001202787",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.