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MR. NAVEEN GNANABAKTHAN MD
NPI 1104267079
Hospitalist in Vernon, CT

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
31 UNION STREET, ROCKVILLE GENERAL HOSPITAL, VERNON, CT 06066(860) 533-6595(860) 533-6594 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 9, 2017, Jun 20, 2016 (3 updates tracked since 2016).

About Mr. Naveen Gnanabakthan Md NPPES

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

MR. NAVEEN GNANABAKTHAN MD (NPI 1104267079) is an individual hospitalist provider in Vernon, Connecticut, licensed in Connecticut (54659) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Erie County Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104267079
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. NAVEEN GNANABAKTHANCredential: MD
Location Address31 UNION STREET, ROCKVILLE GENERAL HOSPITALVernon, CT 06066
Mailing Address1301 Solana Blvd Bldg. 2 Suite 2200, Sound PhysiciansWestlake, TX 76262 · (817) 767-6115
Phone(860) 533-6595
Fax(860) 533-6594
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1104267079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CT · 54659
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
31 UNION STREET, Vernon, CT 06066
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Naveen Gnanabakthan Md 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 ID3072807882
PECOS Enrollment IDI20210929001206
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.

Areas of Expertise CMS Part B claims 2

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 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.
233 services94 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
42 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06066 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.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Improvement Activities40
Cost85.96

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%178 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. ROBYN PEMBERTON MD
Pediatrics
31 UNION STREET, ROCKVILLE GENERAL HOSPITAL
ROCKVILLE, CT 06066
Capitol Planning Region (860) 872-5152

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 Naveen Gnanabakthan's NPI number?

The NPI number for Naveen Gnanabakthan is 1104267079. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Naveen Gnanabakthan located?

Naveen Gnanabakthan practices at 31 Union Street Rockville General Hospital, Vernon, CT 06066. The listed phone number is (860) 533-6595.

What is Naveen Gnanabakthan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Naveen Gnanabakthan enrolled in Medicare?

Yes. Naveen Gnanabakthan 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.

Is Naveen Gnanabakthan affiliated with any hospitals?

According to CMS data, Naveen Gnanabakthan is affiliated with Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Naveen Gnanabakthan was last updated on July 21, 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.