ANDA RALUCA GONCIULEA M.D
NPI 1225357056
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fairfield, CT

Q: What is Anda Gonciulea's NPI number?

The NPI number for Anda Gonciulea is 1225357056. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Q: What is Anda Gonciulea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Anda Gonciulea was last updated on March 22, 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.

Active since May 18, 2010PECOS EnrolledAccepts Medicare Assignment

93.27/100

CMS Quality Rating

1152 KINGS HIGHWAY CUTOFF, FAIRFIELD, CT 06824(203) 256-5500(203) 254-2235 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2016, Jul 12, 2016 (2 updates tracked since 2016).

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About Anda Raluca Gonciulea M.d NPPES

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

ANDA RALUCA GONCIULEA M.D (NPI 1225357056) is an individual endocrinology, diabetes & metabolism provider in Fairfield, Connecticut, licensed in Maryland (D0081341) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bridgeport, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1225357056

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameANDA RALUCA GONCIULEACredential: M.D

Location Address1152 KINGS HIGHWAY CUTOFFFairfield, CT 06824-5271

Mailing Address806 W Diamond Ave, 310Gaithersburg, MD 20878-1415 · (301) 977-0056 · Fax (301) 977-5151

Phone(203) 256-5500

Fax(203) 254-2235

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 18, 2010

Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration

NPPES CertifiedMarch 22, 2024

✔ NPI 1225357056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in MD · D0081341✔ Licensed in CT · 61511

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1152 KINGS HIGHWAY CUTOFF, Fairfield, CT 06824

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Secondary Practice Location 1

Location 1226 Mill Hill AveBridgeport, CT 06610-2826 · Phone (203) 256-5500 · Fax (203) 384-5010

Other Identifiers 1

OtherD0081341MD · Md License

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 and accepts Medicare assignment

Anda Raluca Gonciulea M.d 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 ID3072754852

PECOS Enrollment IDI20180907002730

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 Reassignment

Medicare enrollment records show Anda Gonciulea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Medical Group, Inc

0.9 mi

Cardiovascular Disease

1305 POST RD, SUITE 105
Fairfield, CT 06824

Reassigned Medicare billing, Connecticut enrollment
1,824 clinicians in this Medicare group

NPI 1366745267 (203) 292-2000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

530 services317 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

59 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06824 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

$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.

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.

93.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.72

Promoting Interoperability

78.03

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers48 claims140 services$6.21 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers21 claims28 services$1.08 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers184 claims184 services$190.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. MUHAMMAD SHARFUDDIN M.D.

Internal Medicine

1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 256-5500

LAKSHMI PRIYANKA MAHALI

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (919) 841-6563

MRS. JENNIFER NICOLE MAZZUCCO APRN, FNP-C

Nurse Practitioner

1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 256-5500

COASTAL CONNECTICUT VASCULAR ASC LLC

Clinic/Center (Ambulatory Surgical)

1152 KINGS HIGHWAY CUTOFF, STE 102
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 330-0248

DEBBIE HANIFIN

Nurse Practitioner (Family)

1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 256-5500

YALE UNIVERSITY

Durable Medical Equipment & Medical Supplies

1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 785-2579

AMY TRAN DO

Family Medicine

1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 256-5500

CHARLENE ASHLEY LIAO MD

Family Medicine

1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 256-5500

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 Anda Gonciulea's NPI number?

The NPI number for Anda Gonciulea is 1225357056. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Anda Gonciulea located?

Anda Gonciulea practices at 1152 Kings Highway Cutoff, Fairfield, CT 06824. The listed phone number is (203) 256-5500.

What is Anda Gonciulea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Anda Gonciulea enrolled in Medicare?

Yes. Anda Gonciulea 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 organization bills Medicare for Anda Gonciulea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anda Gonciulea reassigns Medicare benefits to Northeast Medical Group, Inc (Fairfield, CT). The 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 Anda Gonciulea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anda Gonciulea accept?

Health plans from Anthem Blue Cross and Blue Shield list Anda Gonciulea 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 Anda Gonciulea was last updated on March 22, 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.