Individual provider Active NPI

Jeffrey Hale Gimbel, M.D.

  • Internal Medicine Physician
  • North Haven, CT
National Provider Identifier
1861436735
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037053 Issued in CT
Practice address
3 Lincoln St
North Haven, CT 06473-1807
Phone
(203) 269-9400
Fax
(203) 269-9455
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 037053 CT Primary

Addresses

Primary practice location

3 Lincoln St
North Haven, CT 06473-1807

Mailing address

3 Lincoln St
North Haven, CT 06473-1807
Phone (203) 269-9400

Other identifiers 1

IdentifierTypeStateIssuer
001370535MedicaidCT

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
I20100915000344 CT Practitioner - Internal Medicine 7719002757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3 Lincoln St
North Haven, CT 06473-1856
Phone (203) 269-9400

Hospital & facility affiliations

  • Masonicare Home Health & Hospice, Inc Home health agency, Wallingford, CT, CCN 077159
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037053CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey H Gimbel MD LLC Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Family and Internal Medicine of Dixwell Avenue Internal Medicine Past Accepting new patients
Waterbury Hospital Past Accepting new patients
Family Practice & Internal Medicine of Spring Gren LLC Internal Medicine Past Accepting new patients

Locations

3 Lincoln St
North Haven, CT 06473
Phone (203) 269-9400

50 S Main St
Wallingford, CT 06492
Phone (203) 269-1485

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECCCBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDHAAA/Endpoint/HDHAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDHAAA

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1861436735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LINCOLN ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731807",
            "telephone_number": "203-269-9400",
            "fax_number": "203-269-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LINCOLN ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731807",
            "telephone_number": "203-269-9400",
            "fax_number": "203-269-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "JEFFREY",
        "middle_name": "HALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "037053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001370535",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.