Individual provider Active NPI

Richard T. Gervasi, M.D.

  • Nephrology Physician
  • Norwalk, CT
National Provider Identifier
1972597813
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
042201 Issued in CT
Practice address
40 Cross St
4TH FL
Norwalk, CT 06851-4647
Phone
(203) 845-4800
Fax
(203) 845-4873
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042201 CT
Nephrology Physician 207RN0300X 042201 CT Primary

Addresses

Primary practice location

40 Cross St
4TH FL
Norwalk, CT 06851-4647

Mailing address

2700 Westchester Ave
Purchase, NY 10577-2547
Phone (914) 607-5730

Other identifiers 1

IdentifierTypeStateIssuer
1972597813MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040511000702 CT Practitioner - NephrologyPractitioner - Internal Medicine 3870582117 Reassigns benefits to 1 organization
I20170306000406 NY Practitioner - Internal MedicinePractitioner - Nephrology 3870582117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

40 Cross St
FL 4
Norwalk, CT 06851-4647
Phone (203) 845-4800

Hospital & facility affiliations

  • DaVita South Norwalk Dialysis Dialysis facility, Norwalk, CT, CCN 072521
  • Western Connecticut Home Care Inc Home health agency, Danbury, CT, CCN 077088
  • Rvnahealth Home health agency, Ridgefield, CT, CCN 077066
  • Norwalk Hospital Hospital, Norwalk, CT, CCN 070034
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042201CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Group, P.C. Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
The Westchester Medical Group PC CurrentSince Feb 1, 2017 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

40 Cross St
Fl 4
Norwalk, CT 06851
Phone (203) 845-4800

40 Cross St
Ste 4
Norwalk, CT 06851
Phone (203) 845-2000

542 Westport Ave
Norwalk, CT 06851
Phone (203) 845-4800

40 Cross St
#4
Norwalk, CT 06851

2700 Westchester Ave
Purchase, NY 10577
Phone (914) 607-5730

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rgervasi@hiemail.healtheconnections.org
  • Direct secure messaging: richard.gervasi.1@21260.direct.athenahealth.com

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1972597813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-607-5730",
            "fax_number": "914-457-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CROSS ST",
            "address_2": "4TH FL",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514647",
            "telephone_number": "203-845-4800",
            "fax_number": "203-845-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASI",
        "first_name": "RICHARD",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042201",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "042201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972597813",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.