Individual provider Active NPI

Benjamin T Gilbert, PA-C

  • Physician Assistant
  • West Haven, CT
National Provider Identifier
1881074482
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003341 Issued in CT
Practice address
500 Elm St
West Haven, CT 06516-4233
Phone
(203) 223-3511
NPI assigned
Jun 9, 2015
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003341 CT Primary

Addresses

Primary practice location

500 Elm St
West Haven, CT 06516-4233

Mailing address

1111 Stratford Ave
Apartment 511
Stratford, CT 06615-6344
Phone (203) 223-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151007001278 CT Practitioner - Physician Assistant 3971811183 Reassigns benefits to 6 organizations
I20251210000844 NY Practitioner - Physician Assistant 3971811183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1011 High Ridge Rd
Suite 101
Stamford, CT 06905-1604
Phone (475) 477-2330

1240 Ulster Ave
Kingston, NY 12401-1517
Phone (845) 585-1270

205 Main St
Suite 7
Norwalk, CT 06851-3530
Phone (475) 257-6057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.6 of 100Reported as group
Quality
89.17
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53110CAMDPharmacist
026340NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince Sep 1, 2022 Accepting new patients
Petrel Emergency Physicians, a Medical Corporation Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

Interoperability endpoints

  • Direct secure messaging: benjamin.gilbert@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: bgilbert24240@stamfordhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1881074482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 STRATFORD AVE",
            "address_2": "APARTMENT 511",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156344",
            "telephone_number": "203-223-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ELM ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164233",
            "telephone_number": "203-223-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "BENJAMIN",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "003341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.