Individual provider Active NPI

Gendai Echezona, MD

  • Pain Medicine (Anesthesiology) Physician
  • Norwalk, CT
National Provider Identifier
1871737718
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
53281 Issued in CT
Practice address
34 Maple St
Norwalk, CT 06850-3815
Phone
(203) 852-3374
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 53281 CT
Pain Medicine (Anesthesiology) Physician 207LP2900X 53281 CT Primary

Addresses

Primary practice location

34 Maple St
Norwalk, CT 06850-3815

Mailing address

15 Country Club Dr
Ste 301
White Plains, NY 10607-2429
Phone (203) 956-0022

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
I20140822002313 CT Practitioner - AnesthesiologyPractitioner - Pain Management 6901024512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 Cross St
Suite 301
Norwalk, CT 06851-4644
Phone (203) 956-0022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53281CTMDAnesthesiology Physician

Interoperability endpoints

  • Direct secure messaging: gendai.echezona.1@19973.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1871737718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COUNTRY CLUB DR",
            "address_2": "STE 301",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106072429",
            "telephone_number": "203-956-0022",
            "fax_number": "203-956-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAPLE ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503815",
            "telephone_number": "203-852-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEZONA",
        "first_name": "GENDAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "53281",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CT",
            "license": "53281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.