Individual provider Active NPI

Serafima M Glouzgal, MD

  • Internal Medicine Physician
  • Ridgefield, CT
National Provider Identifier
1497785166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036381 Issued in CT
Practice address
38B Grove St
Unit L-B
Ridgefield, CT 06877-4665
Phone
(203) 431-1942
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 036381 CT Primary

Addresses

Primary practice location

38B Grove St
Unit L-B
Ridgefield, CT 06877-4665

Mailing address

38B Grove St
Unit L-B
Ridgefield, CT 06877-4665
Phone (203) 431-1942

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
I20081202000010 CT Practitioner - Internal Medicine 6800957432 Practice locations: Ridgefield, CT

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

38 B Grove St
L B
Ridgefield, CT 06877-4665
Phone (203) 431-1942

Hospital & facility affiliations

  • Rvnahealth Home health agency, Ridgefield, CT, CCN 077066
  • Constellation Home Care Hospice, Norwalk, CT, CCN 071542
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Bethel Health Care Center Nursing home, Bethel, CT, CCN 075400

Merit-based Incentive Payment System (MIPS)

Final score
23.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036381CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serafima M. Glouzgal Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Healthy Ways LLC Past Accepting new patients

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.

Hospital & facility affiliations 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497785166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38B GROVE ST",
            "address_2": "UNIT L-B",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774665",
            "telephone_number": "203-431-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38B GROVE ST",
            "address_2": "UNIT L-B",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774665",
            "telephone_number": "203-431-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOUZGAL",
        "first_name": "SERAFIMA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.