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

Active since November 22, 2006PECOS Enrolled
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: November 01, 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.

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
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
Open in Google Maps ↗

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 (PECOS)

Dr. Ebenezer Kolade M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ebenezer Kolade reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Era Rehabilitation Center, Inc
Same address
Methadone
4675 MAIN STREET
Bridgeport, CT 06606
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 clinicians in this Medicare group
NPI 1255372108 (203) 344-0025
Hygeia Health
809 mi
Substance Abuse Rehabilitation Facility
150 MEDICAL WAY STE A
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
NPI 1619766219 (203) 803-7428

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

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 enrollment system.

Which organizations bill Medicare for Ebenezer Kolade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebenezer Kolade reassigns Medicare benefits to 2 organizations: New Era Rehabilitation Center, Inc (Bridgeport, CT) and Hygeia Health (Riverdale, GA). 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 Ebenezer Kolade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebenezer Kolade accept?

Health plans from Anthem Blue Cross and Blue Shield list Ebenezer Kolade 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 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.