Andrew Ganeles, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

035611 Issued in CT

Practice address

381 Hopmeadow St
Suite 101B
Weatogue, CT 06089-9692

Phone

(860) 651-1166

Fax

(860) 651-1167

NPI assigned

Jun 13, 2006

Last updated

Nov 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Albert Einstein College of Medicine of Yeshiva University, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Andrew Ganeles MD LLC

  • Primary Care Clinic/Center
  • Weatogue, CT
  • NPI 1467727495
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1902849755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 HOPMEADOW ST",
            "address_2": "SUITE 101B",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899692",
            "telephone_number": "860-651-1166",
            "fax_number": "860-651-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 HOPMEADOW ST",
            "address_2": "SUITE 101B",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899692",
            "telephone_number": "860-651-1166",
            "fax_number": "860-651-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANELES",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "035611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001356113",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Fagerholm, DPT
• Richard Alan Feifer
• Lora Long Feld, FNP-BC
• Abigail Fishbein
• Elizabeth J Fisher, OT
• Steven D Gerber, O.D.
• Devon Gomez
• Judith Kathryn Greene
• Sara Grenier, DPT
• Andrew Hanks

• Internal Medicine Physician in Weatogue, CT
• Providers in Weatogue, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.