Individual provider Active NPI

Gabrielle Renee James, MD

  • Pediatrics Physician
  • Riverside, CT
National Provider Identifier
1740740067
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
83250 Issued in CT
Practice address
1171 E Putnam Ave Ste 2
Riverside, CT 06878-1426
Phone
(203) 629-5800
Fax
(203) 629-7960
NPI assigned
Mar 22, 2019
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 83250 CT Primary

Addresses

Primary practice location

1171 E Putnam Ave Ste 2
Riverside, CT 06878-1426

Mailing address

1171 E Putnam Ave Ste 2
Riverside, CT 06878-1426
Phone (203) 629-5800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260401002986 CT Practitioner - Pediatric Medicine 4486080611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2211 Congress St
Portland, ME 04102-1941

5 Perryridge Rd
Greenwich, CT 06830-4641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83250CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
Riverside Pediatrics LLP Pediatrics Past Accepting new patients

Locations

22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887

22 S Greene St
Rm N5W70
Baltimore, MD 21201
Phone (410) 328-6662

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

Interoperability endpoints

  • Direct secure messaging: gabrielle.james.1@11000.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11000/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1740740067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 E PUTNAM AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781426",
            "telephone_number": "203-629-5800",
            "fax_number": "203-629-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E PUTNAM AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781426",
            "telephone_number": "203-629-5800",
            "fax_number": "203-629-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "GABRIELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "83250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CT

Sources for this page

Verify at the official NPI Registry.