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ESTEFANIA D. RIVERA MUDAFORT
NPI 1164909925
Obstetrics & Gynecology in Farmington, CT

Active since July 25, 2018PECOS Enrolled
263 FARMINGTON AVENUE, FARMINGTON, CT 06030(860) 679-2792(860) 679-1494 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2024, Aug 10, 2020, Aug 9, 2020 and 2 more (5 updates tracked since 2018).

About Estefania D. Rivera Mudafort NPPES

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

ESTEFANIA D. RIVERA MUDAFORT (NPI 1164909925) is an individual obstetrics & gynecology provider in Farmington, Connecticut, licensed in Connecticut (078290) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1164909925
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameESTEFANIA D. RIVERA MUDAFORT
Location Address263 FARMINGTON AVENUEFarmington, CT 06030-8085
Mailing Address263 Farmington AvenueFarmington, CT 06030-8085 · (860) 679-2792 · Fax (860) 679-1494
Phone(860) 679-2792
Fax(860) 679-1494
Sole ProprietorNo
Enumeration DateJuly 25, 2018
Last NPPES UpdateJuly 24, 20245 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1164909925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CT · 078290✔ Licensed in MA · 1164909925
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
263 FARMINGTON AVENUE, Farmington, CT 06030
Open in Google Maps ↗

Secondary Practice Location 1

Location 1850 Harrison Ave Fl 5Boston, MA 02118-4001 · Phone (787) 840-2575

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 (PECOS)

Estefania D. Rivera Mudafort 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 Reassignments

2

Medicare enrollment records show Estefania Rivera Mudafort reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Connecticut Health Center
Same address
General Practice
263 FARMINGTON AVE
Farmington, CT 06030
  • Reassigned Medicare billing, Connecticut enrollment
  • 788 clinicians in this Medicare group
NPI 1720083769 (860) 679-7503
Hartford Hospital
6.0 mi
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 clinicians in this Medicare group
NPI 1407806391 (860) 545-7602

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 06030 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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 20

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

MAROUN SFEIR
Pathology (Anatomic Pathology)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2980
LISA PETRICCA PA-C
Physician Assistant (Medical)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100
SHASHANK NAGARAJ PATIL MD
Neurological Surgery
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4617
DR. RICHARD KENT WAGNER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3387
DR. MICHAEL CHRISTOPHER SOBIERAJ MD, PHD
Orthopaedic Surgery
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. ANA ALEYDA MORALES MD
Ophthalmology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3540
DR. AKUA POKUAH SARFO MD/PHD
Dermatology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4600
JENNIFER MARIE GARDNER APRN
Nurse Practitioner (Family)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100

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 Estefania Rivera Mudafort's NPI number?

The NPI number for Estefania Rivera Mudafort is 1164909925. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Where is Estefania Rivera Mudafort located?

Estefania Rivera Mudafort practices at 263 Farmington Avenue, Farmington, CT 06030. The listed phone number is (860) 679-2792.

What is Estefania Rivera Mudafort's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Estefania Rivera Mudafort enrolled in Medicare?

Yes. Estefania Rivera Mudafort is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Estefania Rivera Mudafort's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Estefania Rivera Mudafort reassigns Medicare benefits to 2 organizations: University Of Connecticut Health Center (Farmington, CT) and Hartford Hospital (Hartford, CT). Each 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 Estefania Rivera Mudafort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Estefania Rivera Mudafort accept?

Health plans from Anthem Blue Cross and Blue Shield list Estefania Rivera Mudafort 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 Estefania Rivera Mudafort was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.