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DANIELA GIL HENAO MD
NPI 1649831801
Family Medicine in Middletown, CT

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
28 CRESCENT ST, MIDDLETOWN, CT 06457(860) 358-5322(860) 358-6298 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Nov 6, 2019 (2 updates tracked since 2019).

About Daniela Gil Henao Md NPPES

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

DANIELA GIL HENAO MD (NPI 1649831801) is an individual family medicine provider in Middletown, Connecticut, licensed in Connecticut (072226) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649831801
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANIELA GIL HENAOCredential: MD
Location Address28 CRESCENT STMiddletown, CT 06457-3654
Mailing Address28 Crescent StMiddletown, CT 06457-3650 · (860) 358-5322 · Fax (860) 358-6298
Phone(860) 358-5322
Fax(860) 358-6298
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2019
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1649831801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 072226
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
28 CRESCENT ST, Middletown, CT 06457
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Secondary Practice Location 1

Location 1Family Medicine Center at Asylum Hill, 99 Woodland StreetHartford, CT 06105-1207 · Phone (860) 714-4212 · Fax (860) 714-8080

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

Daniela Gil Henao 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 ID2860868767
PECOS Enrollment IDI20221018001953
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 7

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.
485 services183 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.
123 services119 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services13 patients
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.
29 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

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.

THOMAS J. DANYLIW MD
Preventive Medicine (Occupational Medicine)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6394
JEFFREY M BERNSTEIN MD
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6394
KUANG-WEN TSAO M.D.
Internal Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-4720
DR. BENJAMIN MICHIEL SIGAL MD
Emergency Medicine
28 CRESCENT ST, MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6886
TINA RITA BAFUMI M.D.
Pediatrics
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-9471
SAMUEL PACH
Hospitalist
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-8300
JOSEPH C SALA DO
Radiology (Diagnostic Radiology)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6000
JEFFREY H. GOTTLIEB M.D.
Psychiatry & Neurology (Psychiatry)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6760

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 Daniela Gil Henao's NPI number?

The NPI number for Daniela Gil Henao is 1649831801. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Daniela Gil Henao located?

Daniela Gil Henao practices at 28 Crescent St, Middletown, CT 06457. The listed phone number is (860) 358-5322.

What is Daniela Gil Henao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniela Gil Henao enrolled in Medicare?

Yes. Daniela Gil Henao 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.

When was this NPI record last updated?

The NPPES record for Daniela Gil Henao was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.