Individual provider Active NPI

George Giffault, D.O.

  • Internal Medicine Physician
  • Westerly, RI
National Provider Identifier
1750357596
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO00542 Issued in RI
Practice address
25 Wells St
Westerly, RI 02891-2922
Phone
(800) 933-5960
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 040038 CT
Internal Medicine Physician 207R00000X DO00542 RI Primary
Internal Medicine Physician 207R00000X 040038 CT
Hospitalist Physician 208M00000X DO00542 RI

Addresses

Primary practice location

25 Wells St
Westerly, RI 02891-2922

Mailing address

365 Montauk Ave
Room 4.512
New London, CT 06320-4700
Phone (860) 442-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040506001396 CT Practitioner - Internal Medicine 7517956493 Reassigns benefits to 3 organizations
I20080318000380 RI Practitioner - Internal Medicine 7517956493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
North Stonington Medical Walk-in Center PCGroup PAC ID 9830283324, 3 clinicians

Practice addresses (Care Compare)

82 Norwich Westerly Rd
Suite 3
North Stonington, CT 06359-1744
Phone (860) 599-2469

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040038CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Nov 18, 2009 Accepting new patients
North Stonington Medical Walk-in Center, PC Internal Medicine CurrentSince Sep 1, 2007 Accepting new patients
Seaport Clinic LLC Internal Medicine Past Accepting new patients
Sound Medical Associates, PC Internal Medicine Past Accepting new patients
Hospital Internists of New London, LLC Hospitalist Past Accepting new patients
Conncare Inc Internal Medicine Past Accepting new patients

Locations

365 Montauk Ave
Rm 4512
New London, CT 06320

365 Montauk Ave
Rm 4
New London, CT 06320

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

78 Viets St
New London, CT 06320
Phone (860) 447-1416

82 Norwich Westerly Rd
North Stonington, CT 06359
Phone (860) 599-2469

82 Norwich Westerly Rd
Ste 3
North Stonington, CT 06359
Phone (860) 599-2469

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10489/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1750357596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "address_2": "ROOM 4.512",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711",
            "fax_number": "860-444-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "800-933-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFAULT",
        "first_name": "GEORGE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "040038",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO00542",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040038",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "RI",
            "license": "DO00542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.