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ASENA DEROHANNESIAN
NPI 1043685308
Nurse Practitioner - Pediatrics in Bridgeport, CT

Active since December 11, 2015PECOS Enrolled
425 THORME ST, BRIDGEPORT, CT 06606(203) 275-4115(203) 275-0198 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2018, Dec 11, 2015 (2 updates tracked since 2015).

About Asena Derohannesian NPPES

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

ASENA DEROHANNESIAN (NPI 1043685308) is an individual pediatrics provider in Bridgeport, Connecticut, licensed in Connecticut (6410) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bridgeport.

NPPES Registry Identity

NPI1043685308
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameASENA DEROHANNESIAN
Location Address425 THORME STBridgeport, CT 06606-3418
Mailing Address46 Albion StBridgeport, CT 06605-2602 · (203) 330-6000
Phone(203) 275-4115
Fax(203) 275-0198
Sole ProprietorNo
Enumeration DateDecember 11, 2015
Last NPPES UpdateOctober 17, 20182 updates tracked since enumeration
✔ NPI 1043685308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 6410
425 THORME ST, Bridgeport, CT 06606
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Other Names 1

Former Name (1)Asena Levent

Secondary Practice Location 1

Location 1968 Fairfield AveBridgeport, CT 06605-1116 · Phone (203) 330-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Asena Derohannesian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Asena Derohannesian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boston Children's Health Physicians, LLP
33 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CITY OF BRIDGEPORT HEALTH DEPT SCHOOL BASED HEALTH CENTER
Clinic/Center (Health Service)
425 THORME ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-7815

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 Asena Derohannesian's NPI number?

The NPI number for Asena Derohannesian is 1043685308. It was assigned to this individual provider in the NPPES registry on December 11, 2015. The provider is also known as Asena Levent.

Where is Asena Derohannesian located?

Asena Derohannesian practices at 425 Thorme St, Bridgeport, CT 06606. The listed phone number is (203) 275-4115.

What is Asena Derohannesian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Asena Derohannesian enrolled in Medicare?

Yes. Asena Derohannesian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Asena Derohannesian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asena Derohannesian reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, NY). The 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 Asena Derohannesian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Asena Derohannesian was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.