OBGYN GROUP OF EASTERN CONNECTICUT, P.C.
NPI 1376756908
Obstetrics & Gynecology in South Windsor, CT
About Obgyn Group Of Eastern Connecticut, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. (NPI 1376756908) is a healthcare organization registered as an obstetrics & gynecology in South Windsor, Connecticut and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Kelly Riccitelli, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Obgyn Group Of Eastern Connecticut, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Obgyn Group Of Eastern Connecticut, P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
Hartford, CT 06102
Plantsville, CT 06479
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 2
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 07D0677759
Obgyn Group Of Eastern Ct PC · South Windsor, CTCertificate for Provider-Performed Microscopy Procedures (PPMP) 07D2006798
Obgyn Group Of Eastern Connecticut, PC · Glastonbury, CTFrequently 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 Obgyn Group Of Eastern Connecticut, P.C.'s NPI number?
The NPI number for Obgyn Group Of Eastern Connecticut, P.C. is 1376756908. It was assigned to this organization in the NPPES registry on May 8, 2007.
Where is Obgyn Group Of Eastern Connecticut, P.C. located?
Obgyn Group Of Eastern Connecticut, P.C. is located at 2600 Tamarack Avenue Suite 200, South Windsor, CT 06074. The listed phone number is (860) 646-1157.
What is Obgyn Group Of Eastern Connecticut, P.C.'s specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Obgyn Group Of Eastern Connecticut, P.C. enrolled in Medicare?
Yes. Obgyn Group Of Eastern Connecticut, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Obgyn Group Of Eastern Connecticut, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Obgyn Group Of Eastern Connecticut, P.C.. 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 Certified Nurse Midwife (CNM) (5), Nurse Practitioner (5) and Obstetrics/Gynecology (5). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Obgyn Group Of Eastern Connecticut, P.C. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Obgyn Group Of Eastern Connecticut, P.C. was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Obgyn Group Of Eastern Connecticut, P.c. · NPI 1376756908
Obstetrics & Gynecology organization in South Windsor, Connecticut. Organization record, active in the CMS NPPES registry since May 8, 2007.
## Identity
- **NPI:** 1376756908 (Entity type: Organization)
- **Enumerated:** May 8, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Kelly Riccitelli, ADMINISTRATOR
## Practice location
- **Address:** 2600 TAMARACK AVENUE, SUITE 200, South Windsor, CT 06074-5560
- **Phone:** (860) 646-1157 · **Fax:** (860) 646-9877
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Nurse Midwife (CNM) (5), Nurse Practitioner (5), Obstetrics/Gynecology (5); 5 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2020
- **Other identifiers:** Medicaid 004394251 (CT)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376756908) · Data from the CMS NPPES public registry.