DR. JENNIFER MALDONADO DO
NPI 1366029167
Emergency Medicine - Sports Medicine in Farmington, CT

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
263 FARMINGTON AVE # LG065, FARMINGTON, CT 06030(860) 679-4988 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Nov 6, 2025, Mar 26, 2021 (3 updates tracked since 2021).

About Dr. Jennifer Maldonado Do NPPES

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

DR. JENNIFER MALDONADO DO (NPI 1366029167) is an individual sports medicine provider in Farmington, Connecticut, licensed in Florida (OS23454) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366029167
Entity TypeIndividualFemale
Primary Taxonomy207PS0010X
Provider Legal NameDR. JENNIFER MALDONADOCredential: DO
Location Address263 FARMINGTON AVE # LG065Farmington, CT 06030-0001
Mailing Address263 Farmington AveFarmington, CT 06030-1921 · (860) 679-2147 · Fax (860) 679-4624
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1366029167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
Licenses Licensed in FL · OS23454 Licensed in CT · 82438
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 82438 (CT)
263 FARMINGTON AVE # LG065, Farmington, CT 06030

Secondary Practice Locations 2

Location 13301 College AveDavie, FL 33314-7796 · Phone (954) 262-4100
Location 2326 Washington StNorwich, CT 06360-2740 · Phone (860) 889-8331

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Maldonado Do 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 ID6901303965
PECOS Enrollment IDI20251007003392
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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.

Emergency Medicine
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Emergency Medicine
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030

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 Jennifer Maldonado's NPI number?

The NPI number for Jennifer Maldonado is 1366029167. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Jennifer Maldonado located?

Jennifer Maldonado practices at 263 Farmington Ave # Lg065, Farmington, CT 06030. The listed phone number is (860) 679-4988.

What is Jennifer Maldonado's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Jennifer Maldonado enrolled in Medicare?

Yes. Jennifer Maldonado 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.

When was this NPI record last updated?

The NPPES record for Jennifer Maldonado was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.