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TIMOTHY JEREMY KLUFAS
NPI 1194663849
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since March 24, 2026PECOS Enrolled
267 GRANT ST, MED ED PODIUM 4, BRIDGEPORT, CT 06610(203) 384-4442 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Mar 24, 2026 (2 updates tracked since 2026).

About Timothy Jeremy Klufas NPPES

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

TIMOTHY JEREMY KLUFAS (NPI 1194663849) is an individual student in an organized health care education/training program in Bridgeport, Connecticut, licensed in Connecticut (84770) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194663849
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY JEREMY KLUFAS
Location Address267 GRANT ST, MED ED PODIUM 4Bridgeport, CT 06610-0120
Mailing Address267 Grant St, Med Ed Podium 4Bridgeport, CT 06610-0120 · (203) 384-4442
Phone(203) 384-4442
Sole ProprietorNo
Enumeration DateMarch 24, 2026
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1194663849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · 84770
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
267 GRANT ST, Bridgeport, CT 06610
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Jeremy Klufas 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.

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.

MR. ALEX SCOTT CADAN PA-C
Physician Assistant (Surgical)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4500
RYAN KEENAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
DR. BLAZE KELLY DO
Anesthesiology (Pain Medicine)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
KARINA K. LINCER
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
DOROTHY D. DAPONTE
Physical Therapy Assistant
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
MISS SANDRA SHIPKOWITZ APRN
Nurse Practitioner (Pediatrics)
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4490
HOLLY S. ASHBY
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
TESSA GURALNICK DPT
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3708

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 Timothy Klufas's NPI number?

The NPI number for Timothy Klufas is 1194663849. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Timothy Klufas located?

Timothy Klufas practices at 267 Grant St Med Ed Podium 4, Bridgeport, CT 06610. The listed phone number is (203) 384-4442.

What is Timothy Klufas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Timothy Klufas enrolled in Medicare?

Yes. Timothy Klufas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Klufas was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.