Active NPI
Robert Gfeller, MD
- Obstetrics & Gynecology Physician
- Hartford, CT
National Provider Identifier
1790981611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 011956
- Practice address
- 500 Albany Ave
Hartford, CT 06120-2508 - Phone
- (860) 808-8720
- Fax
- (860) 808-1540
- NPI assigned
- Jun 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 011956 | CT | Primary |
Addresses
Primary practice location
500 Albany Ave
Hartford, CT 06120-2508
Mailing address
500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 808-8720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008010702 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011956 | CT | MD | Obstetrics & Gynecology Physician |
| 11956 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1790981611",
"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": "860-808-8720",
"fax_number": "860-808-1540"
},
{
"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": "860-808-8720",
"fax_number": "860-808-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GFELLER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "011956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008010702",
"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 Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.