MICHAEL E BLEFELD M.D.
NPI 1104997923
Pediatrics in Groton, CT

Q: What is Michael Blefeld's NPI number?

The NPI number for Michael Blefeld is 1104997923. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Michael Blefeld's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Blefeld was last updated on December 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 13, 2006PECOS Enrolled

495 GOLD STAR HWY, SUITE 120, GROTON, CT 06340(860) 449-8882(860) 449-9195 Get Directions Write a Review

NPPES record last updated: December 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michael E Blefeld M.d. NPPES

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

MICHAEL E BLEFELD M.D. (NPI 1104997923) is an individual pediatrics provider in Groton, Connecticut, licensed in Connecticut (22070) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104997923

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMICHAEL E BLEFELDCredential: M.D.

Location Address495 GOLD STAR HWY, SUITE 120Groton, CT 06340-6228

Mailing Address495 Gold Star Hwy, Suite 120Groton, CT 06340-6228 · (860) 449-8882 · Fax (860) 449-9195

Phone(860) 449-8882

Fax(860) 449-9195

Sole ProprietorYes

Enumeration DateNovember 13, 2006

Last NPPES UpdateDecember 29, 2008

✔ NPI 1104997923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CT · 22070

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

495 GOLD STAR HWY, Groton, CT 06340

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Other Identifiers 8

Other4205040Aetna

Medicare UPINOTH000

OtherNLP064Oxford

Medicaid001220706CT

Other031502Health Net

Other620293Connecticare

Other1416771-005Cigna

Other010022070CT01Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael E Blefeld M.d. 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 Michael Blefeld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Physicians PC

46 mi

Family Medicine

3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032

Reassigned Medicare billing, Connecticut enrollment
496 clinicians in this Medicare group

NPI 1720194053 (860) 284-5200

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 06340 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 13

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

MS. SHAYLA MARIE MICHEL LMFT

Marriage & Family Therapist

495 GOLD STAR HWY
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 861-1453

STEVEN BRUCE CARLOW M.D.

Orthopaedic Surgery

495 GOLD STAR HWY, SUITE 300
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 449-1413

GOLD STAR PEDIATRICS LLC

Pediatrics

495 GOLD STAR HWY, STE 495
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 449-8882

ANNA-MARIE L MELCHREIT M.D.

Pediatrics

495 GOLD STAR HWY, SUITE 120
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 449-8882

MR. FREDERICK WILLIAM BERGGREN JR. PTA, ATC

Physical Therapy Assistant

495 GOLD STAR HWY, SUITE112
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 446-8254

DR. DANTE E GULINO JR. DDS., MD.

Dentist (Oral and Maxillofacial Surgery)

495 GOLD STAR HWY, SUITE 205
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 449-1023

ERIC R. WOLF, M.D., P.C.

Dermatology

495 GOLD STAR HWY, SUITE 108
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 449-9090

CENTER FOR PHYSICAL THERAPY & SPORTS REHAB

Physical Therapist

495 GOLD STAR HWY, SUITE 112
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 446-8254

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 Michael Blefeld's NPI number?

The NPI number for Michael Blefeld is 1104997923. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Michael Blefeld located?

Michael Blefeld practices at 495 Gold Star Hwy Suite 120, Groton, CT 06340. The listed phone number is (860) 449-8882.

What is Michael Blefeld's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Blefeld enrolled in Medicare?

Yes. Michael Blefeld is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Blefeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Blefeld reassigns Medicare benefits to Prohealth Physicians PC (Farmington, 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 Michael Blefeld'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 Michael Blefeld was last updated on December 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.