DIGESTIVE DISEASE ASSOCIATES, LLC
NPI 1356480578
Internal Medicine - Gastroenterology in Branford, CT

Active since February 05, 2007CLIA 07D0095981 · Certificate of Compliance
1224 MAIN ST, BRANFORD, CT 06405(203) 481-0315(203) 481-6788 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2022, Jan 20, 2022, Nov 2, 2017 (3 updates tracked since 2017).

About Digestive Disease Associates, Llc NPPES

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

DIGESTIVE DISEASE ASSOCIATES, LLC (NPI 1356480578) is a healthcare organization registered as a gastroenterology in Branford, Connecticut and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 13, 2027 and lists Christopher Dunbar Illick, Partner, as its authorized official.

NPPES Registry Identity

NPI1356480578
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE DISEASE ASSOCIATES, LLC
Location Address1224 MAIN STBranford, CT 06405-3778
Mailing Address687 Main StBranford, CT 06405-3612 · (203) 481-7050 · Fax (203) 488-6945
Fax(203) 481-6788
Organization SubpartNo
Authorized OfficialChristopher Dunbar IllickPartner · (203) 481-0315
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJanuary 12, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1356480578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
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.
1224 MAIN ST, Branford, CT 06405

Other Identifiers 1

Medicaid004070314CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Digestive Disease Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20040107000567Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Digestive Disease Associates, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Gastroenterology
NPI 1164658555
1224 MAIN ST
Branford, CT 06405
(203) 481-0315
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1427292614
1224 MAIN ST
Branford, CT 06405
(203) 481-0315
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1609836998
1224 MAIN ST
Branford, CT 06405
(203) 481-0315
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1225357809
1224 MAIN ST
Branford, CT 06405
(203) 481-0315
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1336705524
1224 MAIN ST
Bradford, CT 06460
(203) 481-0315
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1316396690
687 MAIN ST
Branford, CT 06405
(617) 732-6660
✔ PECOS✔ Accepts Medicare1.7 mi
Gastroenterology
NPI 1821257742
40 TEMPLE ST SUITE 4A
New Haven, CT 06510
(203) 777-0304
✔ PECOS✔ Accepts Medicare6.4 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 07D0095981

Digestive Disease Associates, LLC · Westbrook, CT
Active · expires Aug 13, 2027
CLIA Number07D0095981
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorMonica Srodon
Laboratory Phone(203) 481-0315
Laboratory LocationDigestive Disease Associates, LLC5 Pequot Park Road, Suite 204, Westbrook, CT 06498
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Digestive Disease Associates, LLC's NPI number?

The NPI number for Digestive Disease Associates, LLC is 1356480578. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Digestive Disease Associates, LLC located?

Digestive Disease Associates, LLC is located at 1224 Main St, Branford, CT 06405. The listed phone number is (203) 481-0315.

What is Digestive Disease Associates, LLC's specialty?

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

Is Digestive Disease Associates, LLC enrolled in Medicare?

Yes. Digestive Disease Associates, LLC is registered in the Medicare PECOS enrollment system.

When is Digestive Disease Associates, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Digestive Disease Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Digestive Disease Associates, LLC. A 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 the clinician's services. The largest specialties are Gastroenterology (5) and Internal Medicine (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Digestive Disease Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D0095981) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Digestive Disease Associates, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Digestive Disease Associates, LLC 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 Digestive Disease Associates, LLC was last updated on January 12, 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.