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DRIOLA BRAHAJ
NPI 1316151863
Internal Medicine - Hematology & Oncology in Bristol, CT

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
30.41/100
CMS Quality Rating
41 BREWSTER RD # LEVELA, BRISTOL, CT 06010(860) 585-3000(860) 585-3907 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Driola Brahaj NPPES

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

DRIOLA BRAHAJ (NPI 1316151863) is an individual hematology & oncology provider in Bristol, Connecticut, licensed in Connecticut (047228) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1316151863
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDRIOLA BRAHAJ
Location Address41 BREWSTER RD # LEVELABristol, CT 06010-5161
Mailing Address80 Pinewood Rd Apt 3aHartsdale, NY 10530-1638 · (718) 920-9900 · Fax (718) 920-6848
Phone(860) 585-3000
Fax(860) 585-3907
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 10, 2007
Last NPPES UpdateApril 28, 2009
✔ NPI 1316151863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CT · 047228
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X
41 BREWSTER RD # LEVELA, Bristol, CT 06010
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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

Driola Brahaj 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 ID9335292754
PECOS Enrollment IDI20090803000560
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 Driola Brahaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bristol Hospital Multi Specialty Group, Inc
0.5 mi
General Practice
15 RIVERSIDE AVE
Bristol, CT 06010
  • Reassigned Medicare billing, Connecticut enrollment
  • 222 clinicians in this Medicare group
NPI 1649265679 (860) 585-3906

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 4

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.
241 services151 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
175 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services59 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
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.

30.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality12.45
Promoting Interoperability0
Improvement Activities20
Cost47.24

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 Driola Brahaj's NPI number?

The NPI number for Driola Brahaj is 1316151863. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Driola Brahaj located?

Driola Brahaj practices at 41 Brewster Rd # Levela, Bristol, CT 06010. The listed phone number is (860) 585-3000.

What is Driola Brahaj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Driola Brahaj enrolled in Medicare?

Yes. Driola Brahaj 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 Driola Brahaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Driola Brahaj reassigns Medicare benefits to Bristol Hospital Multi Specialty Group, Inc (Bristol, 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 Driola Brahaj'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 Driola Brahaj was last updated on April 28, 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.