Individual provider Active NPI

Rosalinda G Gaona, MD

  • Internal Medicine Physician
  • Groton, CT
National Provider Identifier
1508879685
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042084 Issued in CT
Practice address
495 Gold Star Hwy Ste 112
Groton, CT 06340-6229
Phone
(860) 691-8084
Fax
(860) 691-1195
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 042084 CT Primary

Addresses

Primary practice location

495 Gold Star Hwy Ste 112
Groton, CT 06340-6229

Mailing address

495 Gold Star Hwy Ste 112
Groton, CT 06340-6229
Phone (860) 691-8084

Other identifiers 3

IdentifierTypeStateIssuer
4024972MedicaidCO
4041679MedicaidCT
RD89190MedicaidRI

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
I20040419000112 CT Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 0941295042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Minnesota Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Liberty Way
Unit B10
Niantic, CT 06357-1033
Phone (860) 691-8084

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042084CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern CT Primary Care, LLC CurrentSince Nov 18, 2015 Accepting new patients
Gaylord Hospital, Inc. CurrentSince Dec 3, 2018 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
North Stonington Health Center, Inc Past Accepting new patients

Locations

495 Gold Star Hwy
Ste 112
Groton, CT 06340
Phone (860) 446-8254

10 Liberty Way
Unit B10
Niantic, CT 06357
Phone (860) 442-0383

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

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.

Hospital & facility affiliations 5

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1508879685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 GOLD STAR HWY STE 112",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406229",
            "telephone_number": "860-691-8084",
            "fax_number": "860-691-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 GOLD STAR HWY STE 112",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406229",
            "telephone_number": "860-691-8084",
            "fax_number": "860-691-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAONA",
        "first_name": "ROSALINDA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4024972",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4041679",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RD89190",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

Verify at the official NPI Registry.