Individual provider Active NPI

Gabriella Necklas, AU.D.

  • Audiologist
  • Springfield, MA
National Provider Identifier
1902326549
Registry record updated Jun 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4693-SP-AU Issued in MA
Practice address
175 Carew St
Springfield, MA 01104-2389
Phone
(413) 748-6840
NPI assigned
Jun 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4693-SP-AU MA Primary

Addresses

Primary practice location

175 Carew St
Springfield, MA 01104-2389

Mailing address

2346 Bigelow CMNS
Enfield, CT 06082-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131003221 CT Practitioner - Qualified Audiologist 7618242983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Ear, Nose and Throat Associates, P.C.Group PAC ID 3870533730, 20 clinicians

Practice addresses (Care Compare)

988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone (860) 493-1950

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
97.67
Promoting interoperability
100
Improvement activities
40
Cost
81.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4693MAMDClinical Psychologist
4693-SP-AUMAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear, Nose & Throat Associates, P.C. CurrentSince Jan 7, 2019 Accepting new patients

Locations

15 Palomba Dr
Ste 1
Enfield, CT 06082
Phone (860) 493-1950

499 Farmington Ave
Ste 210
Farmington, CT 06032
Phone 8604931950139

300 Hebron Ave
Ste 202
Glastonbury, CT 06033
Phone (860) 659-2759

85 Seymour St
Ste 318
Hartford, CT 06106
Phone (860) 493-1950

2800 Tamarack Ave
Ste 208
South Windsor, CT 06074

988 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 493-1950

Interoperability endpoints

  • Direct secure messaging: gnecklas547676@xdr.hhchealthdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498348800000",
    "number": "1902326549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 BIGELOW CMNS",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042389",
            "telephone_number": "413-748-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECKLAS",
        "first_name": "GABRIELLA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-25",
        "last_updated": "2017-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "4693-SP-AU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.