MEDICAL GROUP
NPI 1144677568
Family Medicine in Manchester, CT
About Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL GROUP (NPI 1144677568) is a healthcare organization registered as a family medicine in Manchester, Connecticut and active in the NPI registry since May 2016. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Watertown, and lists Robert Jon Elders, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
418Medicare enrollment records show 418 clinicians reassign Medicare billing to Medical Group, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 122 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 34
Nearest to this location (20)
See all 418Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D2331106
Prospect Ct Medical Foundation, Inc - Urology · Manchester, CTCertificate of Waiver 07D1042131
Prospect Ct Medical Foundation-Manchester · Manchester, CTFrequently 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 Prospect Ct Medical Foundation, Inc.'s NPI number?
The NPI number for Prospect Ct Medical Foundation, Inc. is 1144677568. It was assigned to this organization in the NPPES registry on May 16, 2016. The provider is also known as Medical Group.
Where is Prospect Ct Medical Foundation, Inc. located?
Prospect Ct Medical Foundation, Inc. is located at 71 Haynes St Miller Bldg., Floor G, Manchester, CT 06040. The listed phone number is (860) 533-2981.
What is Prospect Ct Medical Foundation, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Prospect Ct Medical Foundation, Inc. enrolled in Medicare?
Yes. Prospect Ct Medical Foundation, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prospect Ct Medical Foundation, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 418 clinicians in 34 Medicare specialties reassign their Medicare billing to Prospect Ct Medical Foundation, Inc.. A 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 the clinician's services. The largest specialties are Internal Medicine (93), Nurse Practitioner (89) and Clinical Social Worker (31). Of these, 17 practice at this address and 122 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prospect Ct Medical Foundation, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Prospect Ct Medical Foundation, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Prospect Ct Medical Foundation, Inc. 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 Prospect Ct Medical Foundation, Inc. was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Medical Group · NPI 1144677568
Family Medicine organization in Manchester, Connecticut. Organization record, active in the CMS NPPES registry since May 16, 2016.
## Identity
- **NPI:** 1144677568 (Entity type: Organization)
- **Enumerated:** May 16, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Prospect Ct Medical Foundation, Inc.
- **Organization subpart:** No
- **Authorized official:** Robert Elders, SECRETARY
## Practice location
- **Address:** 71 HAYNES ST, MILLER BLDG., FLOOR G, Manchester, CT 06040-4131
- **Phone:** (860) 533-2981 · **Fax:** (860) 533-2975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 418 clinicians in 34 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (93), Nurse Practitioner (89), Clinical Social Worker (31); 17 practice at this address and 122 within 10 miles; [full list](https://npiprofile.com/npi/1144677568/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2021
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144677568) · Data from the CMS NPPES public registry.