Active NPI
Richard T. Gervasi, M.D.
- Nephrology Physician
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 042201
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972597813 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
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
- Western Connecticut Home Care Inc
- Rvnahealth
- Norwalk Hospital
- Danbury Hospital
- Greenwich Hospital Association -
- Stamford Hospital
- Bridgeport Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042201 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Group, P.C. | Internal Medicine | Current | Accepting new patients |
| The Westchester Medical Group PC | Current | 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
- rgervasi@hiemail.healtheconnections.org
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
CT
-
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Norwalk, CT
- NPI 1538135223
Dialysis facility
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
-
- Home Health Agency
- Ridgefield, CT
- NPI 1497758874
-
- General Acute Care Hospital
- Stamford, CT
- NPI 1356331425
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.