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DR. KYLE ELLIGERS M.D.
NPI 1083078695
Family Medicine in New Haven, CT

Active since April 09, 2016PECOS EnrolledAccepts Medicare Assignment
374 GRAND AVE, NEW HAVEN, CT 06513(203) 777-7411(203) 777-8506 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kyle Elligers M.d. NPPES

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

DR. KYLE ELLIGERS M.D. (NPI 1083078695) is an individual family medicine provider in New Haven, Connecticut, licensed in Connecticut (63966) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2016).

NPPES Registry Identity

NPI1083078695
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KYLE ELLIGERSCredential: M.D.
Location Address374 GRAND AVENew Haven, CT 06513-3733
Mailing Address374 Grand AveNew Haven, CT 06513-3733 · (203) 777-7411 · Fax (203) 777-8506
Phone(203) 777-7411
Fax(203) 777-8506
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2016
Enumeration DateApril 9, 2016
Last NPPES UpdateAugust 2, 2019
✔ NPI 1083078695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 63966
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
374 GRAND AVE, New Haven, CT 06513
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Elligers M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800180852
PECOS Enrollment IDI20190924002891
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 Kyle Elligers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fair Haven Community Health Clinic Inc
Same address
Federally Qualified Health Center (FQHC)
374 GRAND AVE
New Haven, CT 06513
  • Reassigned Medicare billing, Connecticut enrollment
  • 73 clinicians in this Medicare group
NPI 1104803444 (203) 777-7411

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 06513 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims32 services$4.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. AGUSTINA FOUGERE MA LPC
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
REBECCA A BUNNELL PA
Physician Assistant
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
DAIJSIA MELENA BUBB APRN
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
SYDNEY HENCK LCSW
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
ANASTASIA CAMPOS LMSW
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
JOEL DANIEL NEWMAN BLUMAN MD
Family Medicine
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
MARK AUSTIN MS, NCC, LPC
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
RACHEL ROMERO APRN
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411

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 Kyle Elligers's NPI number?

The NPI number for Kyle Elligers is 1083078695. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Where is Kyle Elligers located?

Kyle Elligers practices at 374 Grand Ave, New Haven, CT 06513. The listed phone number is (203) 777-7411.

What is Kyle Elligers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kyle Elligers enrolled in Medicare?

Yes. Kyle Elligers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kyle Elligers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Elligers reassigns Medicare benefits to Fair Haven Community Health Clinic Inc (New Haven, CT). 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 Kyle Elligers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Elligers accept?

Health plans from Anthem Blue Cross and Blue Shield list Kyle Elligers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Elligers was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.