Individual provider Active NPI

Gordon J. Hutchinson, MD

  • Rheumatology Physician
  • New Haven, CT
National Provider Identifier
1962428250
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
020872 Issued in CT
Practice address
136 Sherman Ave
Suite 104
New Haven, CT 06511-5210
Phone
(203) 785-0885
Fax
(203) 624-9714
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 020872 CT Primary

Addresses

Primary practice location

136 Sherman Ave
Suite 104
New Haven, CT 06511-5210

Mailing address

136 Sherman Ave
Suite 104
New Haven, CT 06511-5210
Phone (203) 785-0885

Other identifiers 1

IdentifierTypeStateIssuer
001208727MedicaidCT

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
I20060828000171 CT Practitioner - RheumatologyPractitioner - Internal Medicine 6204830656 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Apr 4, 2010 Accepting new patients
Yale University CurrentSince Apr 4, 2010 Accepting new patients

Locations

136 Sherman Ave
Ste 104
New Haven, CT 06511
Phone (203) 785-0885

136 Sherman Ave
New Haven, CT 06511
Phone (203) 562-8071

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

310 Cedar St
New Haven, CT 06510
Phone (203) 737-4142

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1962428250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 104",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115210",
            "telephone_number": "203-785-0885",
            "fax_number": "203-624-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 104",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115210",
            "telephone_number": "203-785-0885",
            "fax_number": "203-624-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "GORDON",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "020872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001208727",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.