Abra Grize Mabasa, MD – Family Medicine Physician

Key facts

NPI: 1477715035
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 046475 (CT)
Practice address: 125 New Milford Tpke
New Preston, CT 06777-1703
Phone: (860) 868-7318
Fax: (860) 868-7310
NPI assigned: Jun 25, 2008
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Altorelli Health, LLC Internal Medicine Physician · New Preston Marble Dale, CT · NPI 1922536788

Medicare reassignment Care Compare group NPD CT

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Danbury Hospital Dental Clinic/Center · Danbury, CT · NPI 1003835935

Care Compare affiliation Hospital
Danbury Hospital General Acute Care Hospital · Danbury, CT · NPI 1548293343

Care Compare affiliation Hospital
The Charlotte Hungerford Hospital General Acute Care Hospital · Torrington, CT · NPI 1629075734

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Family Practice
Education: Other, 2000
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Altorelli Health LLC (3 clinicians)

Practice addresses (Care Compare)

125 New Milford Tpke
New Preston, CT 06777-1703
Phone (860) 868-8932

Hospital & facility affiliations

Danbury Hospital Hospital · Danbury, CT · CCN 070033
Charlotte Hungerford Hospital Hospital · Torrington, CT · CCN 070011

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20080902000297	CT	Practitioner - Family Practice	6507932308	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
046475	CT	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Altorelli Health, LLC		Current since Mar 1, 2024	Accepting new patients

Locations

125 New Milford Tpke
New Preston Marble Dale, CT 06777
Phone (860) 868-7318

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/DHCIAD

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	046475	CT	Yes

Addresses

Primary practice location

125 New Milford Tpke
New Preston, CT 06777-1703

Mailing address

125 New Milford Tpke
New Preston, CT 06777-1703
Phone (860) 868-7318

Other practice location 1

39 Park Lane Rd
New Milford, CT 06776-2923
Phone (860) 868-7318

Other providers in New Preston, CT

Megan Campanelli
Rebecca Chaison Christian-Parilla, PH.D.
Joseph Gerard Conrad, LADC
Denise A Good
Robert E. Kane, O.D.
Lisa McCarthy-Moore
Pauline A Miller, LCSW
New Preston Dermatology, LLC
Robert Edward O'Keefe
Psychotherapy Care, LLC

All providers in New Preston, CT · Family Medicine Physician in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.