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DR. JONATHAN ROBERT REIDEL MD
NPI 1184793481
Pediatrics in Bridgeport, CT

Active since November 08, 2006PECOS Enrolled
64 BLACK ROCK AVENUE, BRIDGEPORT, CT 06605(203) 579-5000(203) 579-5113 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jonathan Robert Reidel Md NPPES

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

DR. JONATHAN ROBERT REIDEL MD (NPI 1184793481) is an individual pediatrics provider in Bridgeport, Connecticut, licensed in Connecticut (044890) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184793481
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JONATHAN ROBERT REIDELCredential: MD
Location Address64 BLACK ROCK AVENUEBridgeport, CT 06605-1200
Mailing Address64 Black Rock AvenueBridgeport, CT 06605-1200 · (203) 576-3885 · Fax (203) 683-3620
Phone(203) 579-5000
Fax(203) 579-5113
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
✔ NPI 1184793481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 044890
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.
64 BLACK ROCK AVENUE, Bridgeport, CT 06605
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Other Identifiers 11

Other369523CT · Wellcare Medicare
Other010044890CT01CT · Bcbs & Bcfp Prov Id
Medicaid001448902CT
Other7615732CT · Cigna
Other1255448155CT · Ghmc Group Npi Id
Other227660CT · Connecticare
Other2V8732CT · Health Net
Medicaid004234788CT
OtherP3735238CT · Oxford
Medicaid004195930CT
Other1470175CT · Aetna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Robert Reidel Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06605 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.

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 Jonathan Reidel's NPI number?

The NPI number for Jonathan Reidel is 1184793481. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Jonathan Reidel located?

Jonathan Reidel practices at 64 Black Rock Avenue, Bridgeport, CT 06605. The listed phone number is (203) 579-5000.

What is Jonathan Reidel's specialty?

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

Is Jonathan Reidel enrolled in Medicare?

Yes. Jonathan Reidel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Reidel was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.