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EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
NPI 1003224569
Orthopaedic Surgery in Bloomfield, CT

Active since July 29, 2014
701 COTTAGE GROVE ROAD, E230, BLOOMFIELD, CT 06002(860) 648-0814 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eastern Sports Medicine And Spine Associates Llc NPPES

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

EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC (NPI 1003224569) is a healthcare organization registered as an orthopaedic surgery in Bloomfield, Connecticut and active in the NPI registry since July 2014. The organization lists Cheryl Flanagan, Credentialer, as its authorized official.

NPPES Registry Identity

NPI1003224569
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameEASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
Location Address701 COTTAGE GROVE ROAD, E230Bloomfield, CT 06002
Mailing Address99 E River Dr, 5th FloorEast Hartford, CT 06108-3288 · (860) 282-4133
Phone(860) 648-0814
Organization SubpartNo
Authorized OfficialCheryl FlanaganCredentialer · (860) 282-4133
Enumeration DateJuly 29, 2014
Last NPPES UpdateMay 4, 2015
✔ NPI 1003224569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
701 COTTAGE GROVE ROAD, Bloomfield, CT 06002
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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Sports Medicine And Spine Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastern Sports Medicine And Spine Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Alleyne, MD
Orthopedic Surgery
NPI 1316991136
2800 TAMARACK RD SUITE 104
South Windsor, CT 06074
(860) 648-4480
✔ PECOS✔ Accepts Medicare9.3 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 Eastern Sports Medicine And Spine Associates LLC's NPI number?

The NPI number for Eastern Sports Medicine And Spine Associates LLC is 1003224569. It was assigned to this organization in the NPPES registry on July 29, 2014.

Where is Eastern Sports Medicine And Spine Associates LLC located?

Eastern Sports Medicine And Spine Associates LLC is located at 701 Cottage Grove Road E230, Bloomfield, CT 06002. The listed phone number is (860) 648-0814.

What is Eastern Sports Medicine And Spine Associates LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Eastern Sports Medicine And Spine Associates LLC enrolled in Medicare?

Yes. Eastern Sports Medicine And Spine Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Sports Medicine And Spine Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Eastern Sports Medicine And Spine Associates 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Sports Medicine And Spine Associates LLC was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.