Gregor J Koobatian, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

038341 Issued in CT

Practice address

410 Saybrook Rd
Suite 201
Middletown, CT 06457

Phone

(860) 347-4620

Fax

(860) 346-9687

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

University of California, Irvine, California College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middlesex Gastroenterology Associates, LLCGroup PAC ID 5597657627, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score

90.77 of 100Reported as group

Quality

90.77

Improvement activities

40

Cost

74.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Middlesex Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Middletown, CT
  • NPI 1205894375
  Medicare reassignment Care Compare group NPD
• Integrated Anesthesia Associates LLC

  • Anesthesiology Physician
  • Shelton, CT
  • NPI 1881636397
  NPD (past)
• Middlesex Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Middletown, CT
  • NPI 1972522985
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1609833730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-347-4620",
            "fax_number": "860-346-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-347-4620",
            "fax_number": "860-346-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOBATIAN",
        "first_name": "GREGOR",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "038341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001383413",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen B Koch, LCSW
• Martin E Kodish, M.D.
• Martha Koehler, LCSW
• Donald Jeffrey Kohl, DMD
• Jaclyn Aleksandra Konopka, MD
• Christopher Kopin, PA-C
• Kaylan Koski, LCSW
• Amanda Jean Kost, D.O.
• Emma Kostoff, MH, MPH
• Shilpa Piyush Kothary, DPM

• Gastroenterology Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.

Verify at the official NPI Registry.