DR. KULSOOM HUSSAIN MAUDOODI M.D.
NPI 1104180926
Internal Medicine in Enfield, CT
About Dr. Kulsoom Hussain Maudoodi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KULSOOM HUSSAIN MAUDOODI M.D. (NPI 1104180926) is an individual internal medicine provider in Enfield, Connecticut, licensed in Connecticut (054631) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Kulsoom Hussain Maudoodi 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.
Medicare Billing Reassignment
Medicare enrollment records show Kulsoom Maudoodi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 747 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENFIELD, CT 06082
ENFIELD, CT 06082
ENFIELD, CT 06082
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 Kulsoom Maudoodi's NPI number?
The NPI number for Kulsoom Maudoodi is 1104180926. It was assigned to this individual provider in the NPPES registry on June 26, 2012.
Where is Kulsoom Maudoodi located?
Kulsoom Maudoodi practices at 100 Hazard Ave Suite 101, Enfield, CT 06082. The listed phone number is (860) 696-2380.
What is Kulsoom Maudoodi's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kulsoom Maudoodi enrolled in Medicare?
Yes. Kulsoom Maudoodi 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 Kulsoom Maudoodi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kulsoom Maudoodi reassigns Medicare benefits to Hartford Healthcare Medical Group, Inc (Wethersfield, 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 Kulsoom Maudoodi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kulsoom Maudoodi accept?
Health plans from Anthem Blue Cross and Blue Shield list Kulsoom Maudoodi 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 Kulsoom Maudoodi was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Kulsoom Hussain Maudoodi, M.D. · NPI 1104180926
Internal Medicine physician in Enfield, Connecticut. Individual provider, active in the CMS NPPES registry since June 26, 2012.
## Identity
- **NPI:** 1104180926 (Entity type: Individual)
- **Enumerated:** June 26, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 054631 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 HAZARD AVE, SUITE 101, Enfield, CT 06082-5446
- **Phone:** (860) 696-2380
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hartford Healthcare Medical Group, Inc (NPI 1043561301, Wethersfield, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** December 22, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1104180926) · Data from the CMS NPPES public registry.