MADISON AMBULANCE ASSOCIATION INC
NPI 1437144284
Ambulance - Land Transport in Madison, CT

Q: What is Madison Ambulance Association Inc's NPI number?

The NPI number for Madison Ambulance Association Inc is 1437144284. It was assigned to this organization in the NPPES registry on September 19, 2005.

Q: What is Madison Ambulance Association Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since September 19, 2005CLIA 07D2123669 · Waiver

9 OLD ROUTE 79, MADISON, CT 06443(203) 245-9821 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Madison Ambulance Association Inc NPPES

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

MADISON AMBULANCE ASSOCIATION INC (NPI 1437144284) is a healthcare organization registered as a land transport in Madison, Connecticut and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Samuel E. Deburra, President, as its authorized official.

NPPES Registry Identity

NPI1437144284

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameMADISON AMBULANCE ASSOCIATION INC

Location Address9 OLD ROUTE 79Madison, CT 06443-2604

Mailing Address195 Route 80Killingworth, CT 06419-1400 · (860) 663-3634 · Fax (860) 663-3795

Phone(203) 245-9821

Organization SubpartNo

Authorized OfficialSamuel E. DeburraPresident · (203) 245-5617

Enumeration DateSeptember 19, 2005

Last NPPES UpdateFebruary 16, 2018

✔ NPI 1437144284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in CT · C076P1

9 OLD ROUTE 79, Madison, CT 06443

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Other Identifiers 4

Medicaid004084406CT

OtherCT0849Healthnet

Other590003585Railroad Medicare

Other710C076P1CT01Blue Cross/blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Ambulance Association Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateConnecticutEnrollment IDO20080916000456Non-DME Part B · Ambulance Service SupplierDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

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 Waiver 07D2123669

Madison Ambulance Association, Inc Dba Madison Ems · Madison, CT

Active · expires Dec 27, 2026

CLIA Number07D2123669

Laboratory TypeAmbulance

Certificate Effective DateDecember 28, 2024

Certificate Expiration DateDecember 27, 2026

Laboratory DirectorChristopher J. Bernier

Laboratory Phone(203) 245-9821

Laboratory LocationMadison Ambulance Association, Inc Dba Madison Ems9 Old Route 79, Madison, CT 06443

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

7,042 services354 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

348 services259 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

192 services131 patients

Advanced life support, level 2 (als 2) A0433

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

11 services11 patients

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 Madison Ambulance Association Inc's NPI number?

The NPI number for Madison Ambulance Association Inc is 1437144284. It was assigned to this organization in the NPPES registry on September 19, 2005.

Where is Madison Ambulance Association Inc located?

Madison Ambulance Association Inc is located at 9 Old Route 79, Madison, CT 06443. The listed phone number is (203) 245-9821.

What is Madison Ambulance Association Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is Madison Ambulance Association Inc enrolled in Medicare?

Yes. Madison Ambulance Association Inc is registered in the Medicare PECOS enrollment system.

When is Madison Ambulance Association Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Ambulance Service Supplier) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Madison Ambulance Association Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2123669) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Madison Ambulance Association Inc was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.