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MS. MARYAM GONDAL M.D.
NPI 1003163593
Internal Medicine in New Haven, CT

Active since August 14, 2012PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
330 CEDAR STREET, BB 114, NEW HAVEN, CT 06510(203) 785-4184 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2022, Mar 17, 2018, Jan 19, 2018 (3 updates tracked since 2018).

About Ms. Maryam Gondal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARYAM GONDAL M.D. (NPI 1003163593) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (71978) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1003163593
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. MARYAM GONDALCredential: M.D.
Location Address330 CEDAR STREET, BB 114New Haven, CT 06510
Mailing Address330 Cedar Street, Bb 114New Haven, CT 06510 · (203) 785-4184 · Fax (203) 785-7068
Phone(203) 785-4184
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 14, 2012
Last NPPES UpdateAugust 10, 20223 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1003163593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 71978
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 40627 (SC)
330 CEDAR STREET, New Haven, CT 06510
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1834 Farrar DrConway, SC 29526-8747 · Phone (843) 347-9487
Location 21001 W 10th streetindianapolis, IN 46202 · Phone (317) 656-4260

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Maryam Gondal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527207026
PECOS Enrollment IDI20220907001648
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maryam Gondal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University
0.3 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
84 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services28 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN ADAM KERNER D.O.
Anesthesiology
330 CEDAR STREET, TMP-3, #303
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-5828
DR. COLLEEN MARY PIETRAS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
330 CEDAR STREET, BOARDMAN 204
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5000
SAM D SCHILD M.D.
Otolaryngology (Pediatric Otolaryngology)
330 CEDAR STREET
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5430
REBECCA COHN MD
Student in an Organized Health Care Education/Training Program
330 CEDAR STREET, TOMPKINS 3 DEPARTMENT OF ANESTHESIOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-5165
DR. DAVID SETH STROSBERG M.D.
Surgery (Vascular Surgery)
330 CEDAR STREET, BOARDMAN BUILDING 204
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryam Gondal's NPI number?

The NPI number for Maryam Gondal is 1003163593. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Maryam Gondal located?

Maryam Gondal practices at 330 Cedar Street Bb 114, New Haven, CT 06510. The listed phone number is (203) 785-4184.

What is Maryam Gondal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maryam Gondal enrolled in Medicare?

Yes. Maryam Gondal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maryam Gondal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Gondal reassigns Medicare benefits to Yale University (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryam Gondal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryam Gondal accept?

Health plans from Anthem Blue Cross and Blue Shield list Maryam Gondal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryam Gondal was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.