Active NPI
Gabriella Elizabeth Smith, P.A.
- Medical Physician Assistant
- Hartford, CT
National Provider Identifier
1700883709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000729
- Practice address
- 500 Albany Ave
Hartford, CT 06120-2508 - Phone
- (860) 249-9625
- Fax
- (860) 808-1581
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000729 | CT | Primary |
Addresses
Primary practice location
500 Albany Ave
Hartford, CT 06120-2508
Mailing address
500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 249-9625
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D400341167 | Other | CT | MEDICARE |
| P01758342 | Other | CT | RAILROAD MEDICARE |
| 008057590 | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 249-9625
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000729 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Services, Inc. | Current | Accepting new patients | |
| Community Health Services, Inc. | Current | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients | |
| Connecticut Heart Physicians, Inc. | Past | Accepting new patients | |
| Consulting Cardiologists, P.C. | Past | Accepting new patients |
Locations
500 Albany Ave
Hartford, CT 06120
Phone (860) 249-9625
Interoperability endpoints
- https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1730284605
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1750632659
-
- Cardiovascular Disease Physician
- Windsor, CT
- NPI 1477588002
-
- Cardiovascular Disease Physician
- Hartford, CT
- NPI 1053353656
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1700883709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202508",
"telephone_number": "860-249-9625",
"fax_number": "860-808-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202508",
"telephone_number": "860-249-9625",
"fax_number": "860-808-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GABRIELLA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "000729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "D400341167",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01758342",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008057590",
"state": "CT"
}
],
"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 May 20, 2025; 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.