JIE MIN
NPI 1417480039
Anesthesiology in New London, CT
About Jie Min NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIE MIN (NPI 1417480039) is an individual anesthesiology provider in New London, Connecticut, licensed in Connecticut (69143) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jie Min is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jie Min reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW LONDON, CT 06320
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 Jie Min's NPI number?
The NPI number for Jie Min is 1417480039. It was assigned to this individual provider in the NPPES registry on April 10, 2017.
Where is Jie Min located?
Jie Min practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.
What is Jie Min's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Jie Min enrolled in Medicare?
Yes. Jie Min is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jie Min's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jie Min reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). The 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 Jie Min's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jie Min was last updated on December 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jie Min · NPI 1417480039
Anesthesiology physician in New London, Connecticut. Individual provider, active in the CMS NPPES registry since April 10, 2017.
## Identity
- **NPI:** 1417480039 (Entity type: Individual)
- **Enumerated:** April 10, 2017
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 69143 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 365 MONTAUK AVE, New London, CT 06320-4700
- **Phone:** (860) 442-0711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417480039) · Data from the CMS NPPES public registry.