Active NPI
Michael Gabriel
- Hospice and Palliative Medicine (Family Medicine) Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 55808
- Practice address
- 100 Pearl St FL 14
Hartford, CT 06103-4500 - Phone
- (888) 355-3902
- NPI assigned
- Apr 14, 2013
- Last updated
- Nov 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 25MA10449300 | NJ | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 042.0015733 | VT | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 294552 | NY | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 35C.000752 | OH | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 22248 | NH | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD25140 | ME | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD17236 | RI | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 286653 | MA | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 55808 | CT | Primary |
Addresses
Primary practice location
100 Pearl St FL 14
Hartford, CT 06103-4500
Mailing address
333 Commerce St Ste 700
Nashville, TN 37201-1835
Phone (615) 454-9850
Other practice location 1
101 Avenue Of The Americas
New York, NY 10013-1941
Phone (844) 326-3115
Other practice location 2
10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (401) 424-5263
Other practice location 3
2600 Route 66
Suite 150
Neptune, NJ 07753
Phone (844) 735-3312
Other practice location 4
2 Gannett Dr
South Portland, ME 04106-6909
Phone (844) 955-1440
Other practice location 5
20 S 3rd St Ste 210
Columbus, OH 43215-4206
Phone (844) 955-1440
Other practice location 6
225 Cedar Hill St
Marlborough, MA 01752-5900
Phone (844) 955-1440
Other practice location 7
15 Constitution Dr Fl 1
Bedford, NH 03110-6042
Phone (844) 955-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, RI, MA, NH, ME, OH, VA, DC, MD, SC, WV, NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 14
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Commonwealth Medical College, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55808 | CT | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| 042.0015733 | VT | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelon Medical Partners of North Carolina PC | Current | Accepting new patients | |
| Caremore Medical Group of North Carolina, PC | Current | Accepting new patients | |
| Aspire Health Medical Partners of Middle Tennessee PC | Past | Accepting new patients | |
| Carelon Medical Partners of Kansas, PA | Past | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887
333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293
Interoperability endpoints
- https://api.platform.athenahealth.com/24009/brand/1/csg/1/fhir/r4
- mgabriel20209@carelonhealth.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1659775831
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
DC, GA, MA, ME, NH, NJ, OH, RI, SC, VA, WV
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1750903134
-
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1215372354
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Leawood, KS
- NPI 1952831422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1558704106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE ST STE 700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011835",
"telephone_number": "615-454-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PEARL ST FL 14",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061034500",
"telephone_number": "888-355-3902"
}
],
"practiceLocations": [
{
"address_1": "101 Avenue Of The Americas",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100131941",
"country_code": "US",
"telephone_number": "844-326-3115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Dorrance St Ste 700",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029032014",
"country_code": "US",
"telephone_number": "401-424-5263",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 Route 66",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Neptune",
"state": "NJ",
"postal_code": "07753",
"country_code": "US",
"telephone_number": "844-735-3312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Gannett Dr",
"address_purpose": "LOCATION",
"city": "South Portland",
"state": "ME",
"postal_code": "041066909",
"country_code": "US",
"telephone_number": "844-955-1440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 S 3rd St Ste 210",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154206",
"country_code": "US",
"telephone_number": "844-955-1440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Cedar Hill St",
"address_purpose": "LOCATION",
"city": "Marlborough",
"state": "MA",
"postal_code": "017525900",
"country_code": "US",
"telephone_number": "844-955-1440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Constitution Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "NH",
"postal_code": "031106042",
"country_code": "US",
"telephone_number": "844-955-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GABRIEL",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-14",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NJ",
"license": "25MA10449300",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "VT",
"license": "042.0015733",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NY",
"license": "294552",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "OH",
"license": "35C.000752",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NH",
"license": "22248",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "ME",
"license": "MD25140",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "RI",
"license": "MD17236",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "MA",
"license": "286653",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "CT",
"license": "55808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.