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POONAM THAKORE M.D.
NPI 1447612148
Pediatrics - Neonatal-Perinatal Medicine in Bridgeport, CT

Active since March 22, 2016PECOS Enrolled
2800 MAIN ST, BRIDGEPORT, CT 06606(475) 210-5310(475) 210-5784 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2025, Aug 11, 2022, Jul 6, 2022 and 2 more (5 updates tracked since 2016).

About Poonam Thakore M.d. NPPES

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

POONAM THAKORE M.D. (NPI 1447612148) is an individual neonatal-perinatal medicine provider in Bridgeport, Connecticut, licensed in Illinois (036159517) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447612148
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NamePOONAM THAKORECredential: M.D.
Location Address2800 MAIN STBridgeport, CT 06606-4201
Mailing Address1290 Silas Deane Hwy, Hhc-cvoWethersfield, CT 06109-4337 · (860) 972-5507 · Fax (860) 972-7040
Phone(475) 210-5310
Fax(475) 210-5784
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1447612148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036159517
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 62497 (CT), 036159517 (IL)
2800 MAIN ST, Bridgeport, CT 06606
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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)

Poonam Thakore 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

3

Medicare enrollment records show Poonam Thakore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Connecticut Children's Specialty Group, Inc.
47 mi
Pediatrics
282 WASHINGTON ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 601 clinicians in this Medicare group
NPI 1669448882 (860) 545-9000
Hartford Healthcare Medical Group Specialists, PLLC
47 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071
Southern Illinois Medical Services, Nfp
887 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200

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

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.

JENNIFER GODWIN OKON M.D
Student in an Organized Health Care Education/Training Program
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
CAITLIN VAN ESS CRNA
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (860) 576-5000
DR. FRANK RAYMOND SCIFO M.D.
Family Medicine
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-5986
KATHRYN LOHOTSKY JAFFER CRNA
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
DR. ABBIE SACCARY MD
Emergency Medicine
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (415) 210-5604
CLEOFAS ESPINOZA CRNA
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
PETER JAKUBOWSKI
Nurse Anesthetist, Certified Registered
2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
DANIEL PAOLETTI PA-C
Physician Assistant (Medical)
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000

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 Poonam Thakore's NPI number?

The NPI number for Poonam Thakore is 1447612148. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Poonam Thakore located?

Poonam Thakore practices at 2800 Main St, Bridgeport, CT 06606. The listed phone number is (475) 210-5310.

What is Poonam Thakore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Poonam Thakore enrolled in Medicare?

Yes. Poonam Thakore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Poonam Thakore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Thakore reassigns Medicare benefits to 3 organizations: Connecticut Children's Specialty Group, Inc. (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and Southern Illinois Medical Services, Nfp (Carbondale, IL). 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 Poonam Thakore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poonam Thakore accept?

Health plans from Anthem Blue Cross and Blue Shield list Poonam Thakore 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 Poonam Thakore was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.