JON C GAUDIO M.D. NPI 1205885258

NPI Information

  • NPI: 1205885258
  • Provider Name: JON C GAUDIO, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 196 PARKWAY SOUTH
    SUITE 103
    WATERFORD, CT
    ZIP 06385
  • Phone: (860) 443-4383

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NPI Details

Jon C Gaudio, M.D. is a cardiovascular disease internal medicine in Waterford, CT with 30 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jon C Gaudio, M.D. NPI is 1205885258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:1995

The provider's business location address is:

196 PARKWAY SOUTH
SUITE 103
WATERFORD, CT
ZIP 06385
Phone: (860) 443-4383
Fax: (860) 448-6797

The NPI 1205885258 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS:93272)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 5/8/2006 and was last updated on 2/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease40569CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010040569CT01OTHERANTHEM/ECCG:06-1049086
206-1049086OTHERCOMM. HEALTH NETWORK/ECCG
3P3615266OTHEROXFORD/ECCD: 06-1616101
4060001477MEDICARE ID-TYPE UNSPECIFIEDECCD: 06-1616101
5001405697OTHERBLUECARE FAMILY PLAN
606-1616101OTHERCOMM. HEALTH NETWORK/ECCD
7060070007OTHERRR MED/ECCD: 06-1616101
8P2680050OTHEROXFORD/ECCG: 06-1049086
906-1049086OTHERUNITEDHEALTHCARE/ECCG
10H69214MEDICARE UPIN
1106-1616101OTHERUNITEDHEALTHCARE/ECCD
12001405697MEDICAIDCONNECTICUT
13040569OTHERCONNECTICARE
142V2262OTHERHEALTHNET/ECCD:06-1616101
15500HBC444CT01OTHERANTHEM/HOSP-BASED ECCD
16010040569CT03OTHERANTHEM/ECCD:06-1616101
17060069422OTHERRR MED/ECCG: 06-1049086
182V2256OTHERHEALTHNET/ECCG:06-1049086
19060001476MEDICARE ID-TYPE UNSPECIFIEDECCG: 06-1049086

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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