Organization Active NPI

G&T Healthcare, LLC

  • Hospitalist Physician
  • Fitchburg, MA
National Provider Identifier
1912620170
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
G&T HEALTHCARE, LLC
Practice address
1199 John Fitch Hwy
Fitchburg, MA 01420-2026
Phone
(617) 899-5017
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Richard Peisch
Title
Administrator
Phone
(617) 899-5017

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1199 John Fitch Hwy
Fitchburg, MA 01420-2026

Mailing address

1199 John Fitch Hwy
Fitchburg, MA 01420-2026
Phone (617) 899-5017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221201001641 MA Part B Supplier - Clinic/Group Practice 4284002817 Receives reassigned benefits from 3 practitioners
Practice locations: Fitchburg, MA

National Provider Directory

National Provider Directory

Locations

1199 John Fitch Hwy
Ste 9
Fitchburg, MA 01420
Phone (617) 899-5017

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1912620170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202026",
            "telephone_number": "617-899-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202026",
            "telephone_number": "617-899-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&T HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "PEISCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-899-5017"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.