Active NPI
Richard R Gosselin, M.D.
- Cardiovascular Disease Physician
- Poughkeepsie, NY
National Provider Identifier
1972561363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2524091
- Practice address
- 1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923 - Phone
- (845) 473-1188
- Fax
- (845) 567-4311
- NPI assigned
- May 3, 2006
- Last updated
- Aug 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2524091 | NY | Primary |
Addresses
Primary practice location
1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923
Mailing address
1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923
Phone (845) 473-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03104221 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 54.86 of 100
- Quality
- 11.77
- Promoting interoperability
- 98
- Improvement activities
- 0
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2524091 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Hospital Multi Specialty Group, Inc | Current | Accepting new patients |
Locations
15 Riverside Ave
Bristol, CT 06010
Phone (860) 516-7593
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1972561363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COLUMBIA ST",
"address_2": "SUITE 200",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013923",
"telephone_number": "845-473-1188",
"fax_number": "845-567-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COLUMBIA ST",
"address_2": "SUITE 200",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013923",
"telephone_number": "845-473-1188",
"fax_number": "845-567-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSELIN",
"first_name": "RICHARD",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "2524091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03104221",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.