Individual provider Active NPI

Yvonne Gomez-Carrion, M.D.

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1508812967
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
076047 Issued in CT
Practice address
111 Park St
Hartford, CT 06106-2520
Phone
(860) 972-2780
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 57880 MA
Obstetrics & Gynecology Physician 207V00000X 076047 CT Primary

Addresses

Primary practice location

111 Park St
Hartford, CT 06106-2520

Mailing address

111 Park St
Hartford, CT 06106-2520
Phone (860) 972-2780

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
I20231214002101 CT Practitioner - Obstetrics/Gynecology 6002863883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Columbia University College of Physicians and Surgeons, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

111 Park St
Hartford, CT 06106-2520
Phone (860) 972-2780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
076047CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Dec 24, 1987 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Dec 24, 1987 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Obstetrics & Gynecology CurrentSince Dec 24, 1987 Accepting new patients
Hartford Hospital CurrentSince Jan 2, 2024 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Dec 24, 1987 Accepting new patients
Hartford Hospital Obstetrics & Gynecology CurrentSince Jan 2, 2024 Accepting new patients

Locations

111 Park St
Hartford, CT 06106
Phone (860) 972-2780

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

Interoperability endpoints

  • Direct secure messaging: yvonne.gomezcarrion@xdr.hhchealthdirect.org
  • Direct secure messaging: ygomezcarrion254476@direct.bilh.masshiway.net

Organizations & group practices 6

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1508812967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062520",
            "telephone_number": "860-972-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062520",
            "telephone_number": "860-972-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-CARRION",
        "first_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MA",
            "license": "57880",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "076047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.