CONNECTICUT GERIATRIC SPECIALTY GROUP, PC
NPI 1457573933
Family Medicine - Geriatric Medicine in West Hartford, CT

Q: What is Connecticut Geriatric Specialty Group, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since May 03, 2007

1 ABRAHMS BOULEVARD, WEST HARTFORD, CT 06117(860) 523-3854(860) 523-3828 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Connecticut Geriatric Specialty Group, Pc NPPES

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

CONNECTICUT GERIATRIC SPECIALTY GROUP, PC (NPI 1457573933) is a healthcare organization registered as a geriatric medicine in West Hartford, Connecticut and active in the NPI registry since May 2007. The organization lists David Houle, Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1457573933

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameCONNECTICUT GERIATRIC SPECIALTY GROUP, PC

Location Address1 ABRAHMS BOULEVARDWest Hartford, CT 06117

Mailing Address1 Abrahms BoulevardWest Hartford, CT 06117 · (860) 523-3854 · Fax (860) 523-3828

Phone(860) 523-3854

Fax(860) 523-3828

Organization SubpartYesParent: Hebrew Home & Hospital

Authorized OfficialDavid HouleVice President/cfo · (860) 523-3895

Enumeration DateMay 3, 2007

Last NPPES UpdateSeptember 4, 2013

✔ NPI 1457573933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

1 ABRAHMS BOULEVARD, West Hartford, CT 06117

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Other Identifiers 1

Medicare PINC03907CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE 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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Geriatric Specialty Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Connecticut Geriatric Specialty Group, PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Heidi Haller, APRN

Nurse Practitioner

NPI 1629249081

1 ABRAHMS BLVD
West Hartford, CT 06117

(860) 523-3854

✔ PECOS✔ Accepts Medicare0.1 mi

Ava Pannullo, MD

Geriatric Medicine

NPI 1578545620

1 ABRAHMS BLVD
West Hartford, CT 06117

(860) 523-3800

✔ PECOS✔ Accepts Medicare0.1 mi

Elizabeth Esstman, APRN

Nurse Practitioner

NPI 1104885565

1 ABRAHMS BLVD
West Hartford, CT 06117

(860) 523-3854

✔ PECOS✔ Accepts Medicare0.1 mi

Harold Sandals, M.D.

Internal Medicine

NPI 1659348134

384 MERROW RD
Tolland, CT 06084

(860) 875-2099

✔ PECOS✔ Accepts Medicare20 mi

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

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 Connecticut Geriatric Specialty Group, PC's NPI number?

The NPI number for Connecticut Geriatric Specialty Group, PC is 1457573933. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Connecticut Geriatric Specialty Group, PC located?

Connecticut Geriatric Specialty Group, PC is located at 1 Abrahms Boulevard, West Hartford, CT 06117. The listed phone number is (860) 523-3854.

What is Connecticut Geriatric Specialty Group, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Connecticut Geriatric Specialty Group, PC enrolled in Medicare?

Yes. Connecticut Geriatric Specialty Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Geriatric Specialty Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Connecticut Geriatric Specialty Group, PC, in Geriatric Medicine, Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Connecticut Geriatric Specialty Group, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Connecticut Geriatric Specialty Group, PC 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 Connecticut Geriatric Specialty Group, PC was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.