Active NPI
Susan E.M. Gobel, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Hamden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 028470
- Practice address
- 2200 Whitney Ave
Suite 360
Hamden, CT 06518-3691 - Phone
- (203) 281-4463
- Fax
- (203) 287-2930
- NPI assigned
- Nov 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 028470 | CT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 028470 | CT | Primary |
Addresses
Primary practice location
2200 Whitney Ave
Suite 360
Hamden, CT 06518-3691
Mailing address
2200 Whitney Ave
Suite 360
Hamden, CT 06518-3691
Phone (203) 281-4463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001284702 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susan.gobel.p3@direct.pact.nextgenshare.com | Health Information Exchange (HIE) |
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
- Pathology
- Education
- Yale University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Wawecus St
Norwich, CT 06360-2146
Phone (860) 859-9061
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 859-9061
85 Seymour St
Suite 1000
Hartford, CT 06106-5529
Phone (860) 246-2571
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 83.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.99 of 100
- Quality
- 89.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028470 | CT | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Gi PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
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.
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1730160987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 360",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691",
"telephone_number": "203-281-4463",
"fax_number": "203-287-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 360",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691",
"telephone_number": "203-281-4463",
"fax_number": "203-287-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBEL",
"first_name": "SUSAN",
"middle_name": "E.M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CT",
"license": "028470",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "028470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001284702",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susan.gobel.p3@direct.pact.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2200 Whitney Ave",
"address_2": "Suite 360",
"city": "Hamden",
"state": "CT",
"country_code": "US",
"postal_code": "065183691",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.