GREGOR J KOOBATIAN (MD) – Gastroenterology Physician, NPI 1609833730

GREGOR J KOOBATIAN (MD) is a healthcare provider. based in Middletown, Connecticut. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 038341 (CT). The NPI Number for GREGOR J KOOBATIAN (MD) is 1609833730

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
GREGOR J KOOBATIAN (MD)
NPI
1609833730
Phone
(860) 347-4620
Address
410 SAYBROOK RD
Enumeration Date
1 May 2006
Last Update Date
25 March 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
8603474620
Graduation Year
1995 (31 years ago)
PAC ID
0749172898
Group Practice PAC ID
5597657627
Professional Enrollment ID
I20110928000065
Address ID
CT064574777MI410XXRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

401 GASTROENTEROLOGY in CT

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Provider Addresses for GREGOR J KOOBATIAN (MD)

  • 410, Saybrook Road, Middletown, Middlesex County, Connecticut, 06457, United States

    SUITE 201

    MIDDLETOWN, CT 06457

    Phone: (860) 347-4620

    Fax: (860) 346-9687

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,035.

Total Amount is formed as General ($1,035) + Research ($0) + Ownership ($0) = $1,035.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($262).

Total Amount

$1,035

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,035

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110928000065IGastroenterologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity26995$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare7979$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope7370$0
99214Established patient office or other outpatient visit, 30-39 minutes6460$0
45380Biopsy of large bowel using a flexible endoscope5555$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597657627View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YCT
G A S T R O E N T E R O L O G YCT
-CT
G A S T R O E N T E R O L O G YTX
Physician AssistantCT
Physician AssistantCT
Physician AssistantCT
G A S T R O E N T E R O L O G YCT
-CT
G A S T R O E N T E R O L O G YCT

Reviews

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Frequently asked questions

How is GREGOR J KOOBATIAN (MD) identified in CMS data?
CMS-hosted NPPES data lists GREGOR J KOOBATIAN (MD) with NPI 1609833730.
Does CMS list GREGOR J KOOBATIAN (MD) as active?
Yes — GREGOR J KOOBATIAN (MD) is active in the NPI listing used on this page.
What is GREGOR J KOOBATIAN (MD)'s primary classification?
Gastroenterology Physician is the headline specialty for GREGOR J KOOBATIAN (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect GREGOR J KOOBATIAN (MD) on a map?
Expect Middletown, Connecticut as a primary anchor for GREGOR J KOOBATIAN (MD) unless the record lists multiple sites.
Why does GREGOR J KOOBATIAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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