Individual provider Active NPI

Michael Gabriel

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Hartford, CT
National Provider Identifier
1558704106
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
55808 Issued in CT
Practice address
100 Pearl St FL 14
Hartford, CT 06103-4500
Phone
(888) 355-3902
NPI assigned
Apr 14, 2013
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20180718000509 NY Practitioner - Family Practice 8527291053
I20181020000202 NJ Practitioner - Family Practice 8527291053 Reassigns benefits to 1 organization
I20201005002312 RI Practitioner - Hospice/Palliative CarePractitioner - Family Practice 8527291053 Reassigns benefits to 1 organization
I20210330000433 MA Practitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization
I20220111001032 NH Practitioner - Family PracticePractitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization
I20220316003119 ME Practitioner - Family Practice 8527291053 Reassigns benefits to 1 organization
I20230814001574 OH Practitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization
I20231020002182 VA Practitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization
I20240611004201 DC Practitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization
I20240829001745 MD Practitioner - Hospice/Palliative Care 8527291053
I20250410001236 SC Practitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization
I20250422000218 WV Practitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization
I20250711000837 NC Practitioner - Family PracticePractitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization
I20260403001981 GA Practitioner - Hospice/Palliative Care 8527291053 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
55808CTMDHospice and Palliative Medicine (Family Medicine) Physician
042.0015733VTMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners of North Carolina PC CurrentSince Jun 1, 2025 Accepting new patients
Caremore Medical Group of North Carolina, PC CurrentSince Jun 1, 2025 Accepting new patients
Aspire Health Medical Partners of Middle Tennessee PC PastSince Jun 26, 2020 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

  • FHIR API: https://api.platform.athenahealth.com/24009/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.