Active NPI
James Patrick Gavin, M.D.
- Nephrology Physician
- Trumbull, CT
National Provider Identifier
1609875491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 033143
- Practice address
- 7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763 - Phone
- (203) 335-0195
- Fax
- (203) 335-7293
- NPI assigned
- Jul 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 033143 | CT | Primary |
| Internal Medicine Physician | 207R00000X | 033143 | CT |
Addresses
Primary practice location
7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763
Mailing address
7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763
Phone (203) 335-0195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001331438 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Hahnemann University College of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
7 Cambridge Dr
Suite 201
Trumbull, CT 06611-4763
Phone (203) 335-0195
900 Madison Ave
Suite 209
Bridgeport, CT 06606-5534
Hospital & facility affiliations
- DaVita Milford Dialysis
- DaVita Hawley Lane Dialysis
- DaVita Bridgeport Dialysis
- DaVita Trumbull Dialysis
- DaVita Shelton Dialysis
- St Vincent'S Medical Center
- Bridgeport Hospital
- Griffin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.9 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates, PC | Nephrology | Current | Accepting new patients |
Locations
900 Madison Ave
Ste 209
Bridgeport, CT 06606
Phone (203) 335-0195
7 Cambridge Dr
Ste 201
Trumbull, CT 06611
Phone (203) 335-0195
Organizations & group practices 1
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.
-
- Nephrology Physician
- Trumbull, CT
- NPI 1609825223
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bridgeport, CT
- NPI 1508831314
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Milford, CT
- NPI 1801862651
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Shelton, CT
- NPI 1891761565
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Stratford, CT
- NPI 1255839494
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Trumbull, CT
- NPI 1750939963
Dialysis facility
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1942224696
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1609875491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CAMBRIDGE DR STE 201",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114763",
"telephone_number": "203-335-0195",
"fax_number": "203-335-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CAMBRIDGE DR STE 201",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114763",
"telephone_number": "203-335-0195",
"fax_number": "203-335-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVIN",
"first_name": "JAMES",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "033143",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "033143",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001331438",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.