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DR. EBENEZER KOLADE M.D.
NPI 1376618611
Internal Medicine - Addiction Medicine in Bridgeport, CT

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
4675 MAIN ST, BRIDGEPORT, CT 06606(203) 372-3333(203) 374-7515 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ebenezer Kolade M.d. NPPES

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

DR. EBENEZER KOLADE M.D. (NPI 1376618611) is an individual addiction medicine provider in Bridgeport, Connecticut, licensed in Connecticut (040029) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1376618611
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDR. EBENEZER KOLADECredential: M.D.
Location Address4675 MAIN STBridgeport, CT 06606-1813
Mailing Address4675 Main StBridgeport, CT 06606-1813 · (203) 372-3333 · Fax (203) 374-7515
Phone(203) 372-3333
Fax(203) 374-7515
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1376618611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in CT · 040029
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
4675 MAIN ST, Bridgeport, CT 06606
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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. Ebenezer Kolade M.d. 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 ID143245332
PECOS Enrollment IDI20250828005517
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 06606 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.

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.

BRIAN MARSH P.T.
Physical Therapist
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 373-0551
NATHAN DEMAIO
Counselor (Addiction (Substance Use Disorder))
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 344-0025
PATRICIA A CARRINGTON
Licensed Practical Nurse
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 779-0860
DR. MICHELE DIANE KOLESZAR M.D.
Obstetrics & Gynecology (Gynecology)
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-9998
ALLERGY CENTER OF CONNECTICUT, P.C.
Allergy & Immunology
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-6104
DR. CHRISTINA KOLADE D.O.
Family Medicine (Addiction Medicine)
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 344-0025
DR. WILLIAM JAMES ROCKWELL M.D.
Allergy & Immunology (Allergy)
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 374-6103
SHELBY CARMEN DE LUNA
Counselor (Mental Health)
4675 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 372-3333

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 Ebenezer Kolade's NPI number?

The NPI number for Ebenezer Kolade is 1376618611. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Ebenezer Kolade located?

Ebenezer Kolade practices at 4675 Main St, Bridgeport, CT 06606. The listed phone number is (203) 372-3333.

What is Ebenezer Kolade's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Ebenezer Kolade enrolled in Medicare?

Yes. Ebenezer Kolade 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 Ebenezer Kolade was last updated on July 1, 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.