SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC
NPI 1437345113
Urology in Derby, CT
About Southern Connecticut Urological Associates Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC (NPI 1437345113) is a healthcare organization registered as an urology in Derby, Connecticut and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Arnold Rivera, Sole Member/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Connecticut Urological Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Connecticut Urological Associates LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 07D1040174
Southern Connecticut Urological Associates, LLC · Derby, 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 Southern Connecticut Urological Associates LLC's NPI number?
The NPI number for Southern Connecticut Urological Associates LLC is 1437345113. It was assigned to this organization in the NPPES registry on September 17, 2007.
Where is Southern Connecticut Urological Associates LLC located?
Southern Connecticut Urological Associates LLC is located at 111 New Haven Ave Unit 5, Derby, CT 06418. The listed phone number is (203) 736-4816.
What is Southern Connecticut Urological Associates LLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Southern Connecticut Urological Associates LLC enrolled in Medicare?
Yes. Southern Connecticut Urological Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Connecticut Urological Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Southern Connecticut Urological Associates LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Connecticut Urological Associates LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D1040174) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Connecticut Urological Associates LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Southern Connecticut Urological Associates LLC 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 Southern Connecticut Urological Associates LLC was last updated on November 24, 2023. 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.
# Southern Connecticut Urological Associates Llc · NPI 1437345113
Urology organization in Derby, Connecticut. Organization record, active in the CMS NPPES registry since September 17, 2007.
## Identity
- **NPI:** 1437345113 (Entity type: Organization)
- **Enumerated:** September 17, 2007
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Arnold Rivera, SOLE MEMBER/OWNER
## Practice location
- **Address:** 111 NEW HAVEN AVE, UNIT 5, Derby, CT 06418-2197
- **Phone:** (203) 736-4816 · **Fax:** (203) 732-7956
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Urology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437345113) · Data from the CMS NPPES public registry.