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MR. GUSTAVO HIRATA DELLAVIA SR.
NPI 1225874837
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since July 03, 2024PECOS Enrolled
160 ROBBINS ST, WATERBURY, CT 06708(203) 573-7284 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gustavo Hirata Dellavia Sr. NPPES

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

MR. GUSTAVO HIRATA DELLAVIA SR. (NPI 1225874837) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225874837
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. GUSTAVO HIRATA DELLAVIA SR.
Location Address160 ROBBINS STWaterbury, CT 06708-2652
Mailing Address64 Robbins StWaterbury, CT 06708-2600 · (203) 573-6162
Phone(203) 573-7284
Sole ProprietorNo
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1225874837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
160 ROBBINS ST, Waterbury, CT 06708
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gustavo Hirata Dellavia Sr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

VALERIIA DINDIKOVA MD
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
RYAN MCLEAN MD
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
DR. MARIA TASSO M.D.
Pediatrics
160 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 755-2999
ARVIN FARHANG MD
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
HIBA ZEID
Internal Medicine (Pulmonary Disease)
160 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
CHRYSTEL PAWLY MD
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7284
JASON PARK MD
Student in an Organized Health Care Education/Training Program
160 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (213) 219-8559
ELIZABETH MARIE BAILEY GEIB MD
Pediatrics
160 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 755-2999

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 Gustavo Hirata Dellavia's NPI number?

The NPI number for Gustavo Hirata Dellavia is 1225874837. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Gustavo Hirata Dellavia located?

Gustavo Hirata Dellavia practices at 160 Robbins St, Waterbury, CT 06708. The listed phone number is (203) 573-7284.

What is Gustavo Hirata Dellavia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gustavo Hirata Dellavia enrolled in Medicare?

Yes. Gustavo Hirata Dellavia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gustavo Hirata Dellavia was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.