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DR. NATALIE FORDJOUR MD
NPI 1073255493
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since April 07, 2022PECOS Enrolled
263 FARMINGTON AVE # LG065, FARMINGTON, CT 06030(860) 679-4988(860) 679-3489 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Natalie Fordjour Md NPPES

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

DR. NATALIE FORDJOUR MD (NPI 1073255493) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073255493
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NATALIE FORDJOURCredential: MD
Location Address263 FARMINGTON AVE # LG065Farmington, CT 06030-0001
Mailing Address263 Farmington AveFarmington, CT 06030-1921 · (860) 679-2147
Phone(860) 679-4988
Fax(860) 679-3489
Sole ProprietorNo
Enumeration DateApril 7, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1073255493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
263 FARMINGTON AVE # LG065, Farmington, CT 06030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Natalie Fordjour Md 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 Natalie Fordjour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mass General Brigham Medical Group Western Massachusetts Inc
42 mi
Family Medicine
30 LOCUST ST
Northampton, MA 01060
  • Reassigned Medicare billing, Massachusetts enrollment
  • 539 clinicians in this Medicare group
NPI 1295787919 (413) 582-2898

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

Other Providers at the Same Location NPPES 20

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

DR. PATRICK CONAL FLANNERY DO
Emergency Medicine
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4988
DR. RYANNE BURKE DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4988
DR. TYLER P CHAVERS MD
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4988
ELIAS ALBERT UYAR
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4988
PATRICK BOGUI MD
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4988
MATTHEW JOSEPH LESTINA DO
Emergency Medicine
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4988
DR. ELIZABETH GERNERT DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4988
FABIENNE JEAN DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4988

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 Natalie Fordjour's NPI number?

The NPI number for Natalie Fordjour is 1073255493. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Natalie Fordjour located?

Natalie Fordjour practices at 263 Farmington Ave # Lg065, Farmington, CT 06030. The listed phone number is (860) 679-4988.

What is Natalie Fordjour's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Natalie Fordjour enrolled in Medicare?

Yes. Natalie Fordjour is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Natalie Fordjour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Fordjour reassigns Medicare benefits to Mass General Brigham Medical Group Western Massachusetts Inc (Northampton, MA). 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 Natalie Fordjour'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 Natalie Fordjour was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.