KATHLEEN MARIE MCGUIRE MD
NPI 1235172479
Pediatrics in Stratford, CT

Active since June 14, 2006PECOS Enrolled
2505 MAIN ST, STRATFORD, CT 06615(203) 375-9350(203) 375-8013 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathleen Marie Mcguire Md NPPES

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

KATHLEEN MARIE MCGUIRE MD (NPI 1235172479) is an individual pediatrics provider in Stratford, Connecticut, licensed in Connecticut (40110) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235172479
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHLEEN MARIE MCGUIRECredential: MD
Location Address2505 MAIN STStratford, CT 06615-5839
Mailing Address2505 Main StStratford, CT 06615-5839 · (203) 375-9350
Fax(203) 375-8013
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 10, 2009
✔ NPI 1235172479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 40110
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.
2505 MAIN ST, Stratford, CT 06615

Other Identifiers 12

Medicaid001401108CT
Other061152058CT · Community Health Network
Other3556550CT · Aetna Health Plan
OtherP3389562CT · Oxford Health Plan
Other223538CT · Preferred One
Other00140110800CT · Blue Care Ffamily Plan
Other01004011CT01CT · Blue Cross/blue Shield
Other040110CT · Connecticare
Other061152058CT · Commercial Insurance
Other061152058CT · United Health Care
Other2V4891CT · Physician Health Services
Other5189240CT · Cigna Health Plan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Marie Mcguire 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.

Medicare Billing Reassignments

2

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

Federally Qualified Health Center (FQHC)
426 EAST ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 73 clinicians in this Medicare group
General Practice
59 FIELD STREET
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 288 clinicians in this Medicare group

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 06615 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.

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.

Chiropractor
2505 MAIN ST
STRATFORD, CT 06615
Social Worker (Clinical)
2505 MAIN ST, SUITE 208
STRATFORD, CT 06615
Family Medicine
2505 MAIN ST, SUITE 223
STRATFORD, CT 06615
Social Worker (Clinical)
2505 MAIN ST, SUITE 202B
STRATFORD, CT 06615
Technician/Technologist (Optician)
2505 MAIN ST
STRATFORD, CT 06615
Counselor (Professional)
2505 MAIN ST
STRATFORD, CT 06615
Pediatrics
2505 MAIN ST, SUITE 223
STRATFORD, CT 06615
Social Worker (Clinical)
2505 MAIN ST, STE 208
STRATFORD, CT 06615

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 Kathleen Mcguire's NPI number?

The NPI number for Kathleen Mcguire is 1235172479. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Kathleen Mcguire located?

Kathleen Mcguire practices at 2505 Main St, Stratford, CT 06615. The listed phone number is (203) 375-9350.

What is Kathleen Mcguire's specialty?

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

Is Kathleen Mcguire enrolled in Medicare?

Yes. Kathleen Mcguire is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathleen Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Mcguire reassigns Medicare benefits to 2 organizations: Fair Haven Community Health Clinic, Inc (New Haven, CT) and Neighborhood Health, Inc. (Torrington, 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 Kathleen Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Mcguire accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathleen Mcguire 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 Kathleen Mcguire was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.