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ALEXIA T KOUDELLOU MD
NPI 1346278066
Internal Medicine - Gastroenterology in Tolland, CT

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
SIX FIELDSTONE COMMONS, SUITE D, TOLLAND, CT 06084(860) 871-6710(860) 896-4869 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexia T Koudellou Md NPPES

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

ALEXIA T KOUDELLOU MD (NPI 1346278066) is an individual gastroenterology provider in Tolland, Connecticut, licensed in Connecticut (044946) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1346278066
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameALEXIA T KOUDELLOUCredential: MD
Location AddressSIX FIELDSTONE COMMONS, SUITE DTolland, CT 06084
Mailing AddressSix Fieldstone Commons, Suite DTolland, CT 06084 · (860) 871-6710 · Fax (860) 896-4869
Phone(860) 871-6710
Fax(860) 896-4869
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346278066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 044946
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
SIX FIELDSTONE COMMONS, Tolland, CT 06084
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH74009NY
Medicare ID-Type Unspecified9255TANY

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

Alexia T Koudellou 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.

PECOS PAC ID6204822802
PECOS Enrollment IDI20070123000309
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 Alexia Koudellou reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prospect Ct Medical Foundation, Inc.
10 mi
Family Medicine
71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 422 clinicians in this Medicare group
NPI 1144677568 (860) 533-2981
Gastroenterology Health Associates
10 mi
Gastroenterology
945 MAIN ST STE 202
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 3 clinicians in this Medicare group
NPI 1922708015 (860) 871-6710

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 5

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
126 services124 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
107 services101 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
40 services40 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
29 services29 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06084 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.

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 Alexia Koudellou's NPI number?

The NPI number for Alexia Koudellou is 1346278066. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Alexia Koudellou located?

Alexia Koudellou practices at Six Fieldstone Commons Suite D, Tolland, CT 06084. The listed phone number is (860) 871-6710.

What is Alexia Koudellou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alexia Koudellou enrolled in Medicare?

Yes. Alexia Koudellou 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 Alexia Koudellou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexia Koudellou reassigns Medicare benefits to 2 organizations: Prospect Ct Medical Foundation, Inc. (Manchester, CT) and Gastroenterology Health Associates (Manchester, 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 Alexia Koudellou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexia Koudellou accept?

Health plans from Anthem Blue Cross and Blue Shield list Alexia Koudellou 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 Alexia Koudellou was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.