BROOKE PERO LICHAK MD
NPI 1366137564
Pediatrics in New Haven, CT

Active since April 05, 2023PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2026, Apr 5, 2023 (2 updates tracked since 2023).

About Brooke Pero Lichak Md NPPES

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

BROOKE PERO LICHAK MD (NPI 1366137564) is an individual pediatrics provider in New Haven, Connecticut, licensed in Connecticut (84416) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366137564
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBROOKE PERO LICHAKCredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Sole ProprietorNo
Enumeration DateApril 5, 2023
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1366137564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CT · 84416
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

20 YORK ST, New Haven, CT 06510

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brooke Pero Lichak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06510 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.

Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Emergency Medicine
20 YORK ST, YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST
NEW HAVEN, CT 06510
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366137564, enumerated as an "individual" on April 05, 2023.

The provider is located at 20 YORK ST NEW HAVEN, CT 06510 and the phone number is (203) 688-4242.

Pediatrics with taxonomy code 208000000X.