JOHN FOMECHE MD
NPI 1336886431
Internal Medicine in North Haven, CT
About John Fomeche Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN FOMECHE MD (NPI 1336886431) is an individual internal medicine provider in North Haven, Connecticut, licensed in Connecticut (80022) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
John Fomeche Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Fomeche reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
Wallingford, CT 06492
- Reassigned Medicare billing, Connecticut enrollment
- 84 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 06473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH HAVEN, CT 06473
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 John Fomeche's NPI number?
The NPI number for John Fomeche is 1336886431. It was assigned to this individual provider in the NPPES registry on May 19, 2022.
Where is John Fomeche located?
John Fomeche practices at 4A Devine St, North Haven, CT 06473. The listed phone number is (203) 843-9010.
What is John Fomeche's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Fomeche enrolled in Medicare?
Yes. John Fomeche 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 organizations bill Medicare for John Fomeche's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Fomeche reassigns Medicare benefits to 2 organizations: Mill Hill Medical Consultants Inc (New Haven, CT) and Gaylord Hospital, Inc. (Wallingford, 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 John Fomeche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Fomeche accept?
Health plans from Anthem Blue Cross and Blue Shield list John Fomeche 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 John Fomeche was last updated on May 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John Fomeche, MD · NPI 1336886431
Internal Medicine physician in North Haven, Connecticut. Individual provider, active in the CMS NPPES registry since May 19, 2022.
## Identity
- **NPI:** 1336886431 (Entity type: Individual)
- **Enumerated:** May 19, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 80022 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 4A DEVINE ST, North Haven, CT 06473-2142
- **Phone:** (203) 843-9010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT); Gaylord Hospital, Inc. (NPI 1730137753, Wallingford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336886431) · Data from the CMS NPPES public registry.