GERIATRIC PROFESSIONAL GROUP, LLC
NPI 1932295953
Internal Medicine in Bridgeport, CT

Active since October 05, 2006
4200 PARK AVE, BRIDGEPORT, CT 06604(203) 365-6473(203) 396-1039 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Geriatric Professional Group, Llc NPPES

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

GERIATRIC PROFESSIONAL GROUP, LLC (NPI 1932295953) is a healthcare organization registered as an internal medicine in Bridgeport, Connecticut and active in the NPI registry since October 2006. The organization lists Andrew H Banoff, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1932295953
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGERIATRIC PROFESSIONAL GROUP, LLC
Location Address4200 PARK AVEBridgeport, CT 06604-1049
Mailing Address4200 Park AveBridgeport, CT 06604-1049 · (203) 365-6473 · Fax (203) 396-1039
Fax(203) 396-1039
Organization SubpartNo
Authorized OfficialAndrew H BanoffPresident/ceo · (203) 365-6400
Enumeration DateOctober 5, 2006
Last NPPES UpdateNovember 7, 2016
✔ NPI 1932295953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
4200 PARK AVE, Bridgeport, CT 06604

Other Identifiers 2

Medicaid9233CT
Medicare UPINC02995CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Geriatric Professional Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Geriatric Professional Group, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Internal Medicine
NPI 1063508349
175 JEFFERSON ST
Fairfield, CT 06825
(203) 365-6473
✔ PECOS1.1 mi
Internal Medicine
NPI 1366548778
2800 MAIN ST FAMILY HEALTH CENTER
Bridgeport, CT 06606
(203) 576-5131
✔ PECOS1.7 mi
Psychiatry
NPI 1902838329
51 MERWINS LN
Fairfield, CT 06824
(203) 319-0733
✔ PECOS✔ Accepts Medicare4.5 mi
Internal Medicine
NPI 1013987700
120 CONNECTICUT AVE NORWALK COMMUNITY HEALTH CENTER
Norwalk, CT 06854
(203) 899-1770
✔ PECOS13 mi
Geriatric Medicine
NPI 1720262397
75 HOLLY HILL LN
Greenwich, CT 06830
(203) 869-6960
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1700946472
525 E 68TH ST
New York, NY 10065
(212) 746-1383
✔ PECOS✔ Accepts Medicare49 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 Geriatric Professional Group, LLC's NPI number?

The NPI number for Geriatric Professional Group, LLC is 1932295953. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Geriatric Professional Group, LLC located?

Geriatric Professional Group, LLC is located at 4200 Park Ave, Bridgeport, CT 06604. The listed phone number is (203) 365-6473.

What is Geriatric Professional Group, LLC's specialty?

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

Is Geriatric Professional Group, LLC enrolled in Medicare?

Yes. Geriatric Professional Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geriatric Professional Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Geriatric Professional Group, LLC. 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. The largest specialties are Internal Medicine (4), Geriatric Medicine (1) and Psychiatry (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Geriatric Professional Group, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Geriatric Professional Group, LLC 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 Geriatric Professional Group, LLC was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.