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ANDREW JIMENEZ
NPI 1174943369
Orthopaedic Surgery - Sports Medicine in New Haven, CT

Active since April 26, 2014PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
47 COLLEGE ST FL 2, NEW HAVEN, CT 06510(877) 925-3637(203) 785-6798 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2021, Jul 25, 2019 (2 updates tracked since 2019).

About Andrew Jimenez NPPES

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

ANDREW JIMENEZ (NPI 1174943369) is an individual sports medicine provider in New Haven, Connecticut, licensed in Connecticut (63795) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2014).

NPPES Registry Identity

NPI1174943369
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameANDREW JIMENEZ
Location Address47 COLLEGE ST FL 2New Haven, CT 06510-3209
Mailing Address47 College St Fl 2New Haven, CT 06510-3209
Phone(877) 925-3637
Fax(203) 785-6798
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateApril 26, 2014
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1174943369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CT · 63795
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
47 COLLEGE ST FL 2, New Haven, CT 06510
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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

Andrew Jimenez 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 ID6406073683
PECOS Enrollment IDI20211110003108
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 Andrew Jimenez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University
0.3 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432
American Hip Institute, LLC
775 mi
Sports Medicine
999 E TOUHY AVE, SUITE 450
Des Plaines, IL 60018
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group
NPI 1285101808 (630) 920-2317

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 5

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

MENGNAI LI MD
Orthopaedic Surgery
47 COLLEGE ST FL 2
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (877) 925-3637
DR. DANIEL ROBERT RUBIO MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
47 COLLEGE ST FL 2
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7248
DR. ERIN STOCKWELL MD
Orthopaedic Surgery
47 COLLEGE ST FL 2
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5461
ELIE MANSOUR MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
47 COLLEGE ST FL 2
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5461
DR. LISA L. LATTANZA MD
Orthopaedic Surgery (Hand Surgery)
47 COLLEGE ST FL 2
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5461

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 Andrew Jimenez's NPI number?

The NPI number for Andrew Jimenez is 1174943369. It was assigned to this individual provider in the NPPES registry on April 26, 2014.

Where is Andrew Jimenez located?

Andrew Jimenez practices at 47 College St Fl 2, New Haven, CT 06510. The listed phone number is (877) 925-3637.

What is Andrew Jimenez's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Andrew Jimenez enrolled in Medicare?

Yes. Andrew Jimenez 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 organizations bill Medicare for Andrew Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Jimenez reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and American Hip Institute, LLC (Des Plaines, IL). 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 Andrew Jimenez'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 Andrew Jimenez was last updated on September 9, 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.