STEPHANIE SUDIKOFF MD
NPI 1487609756
Pediatrics - Pediatric Critical Care Medicine in Bridgeport, CT

Active since May 24, 2006PECOS Enrolled
2800 MAIN ST, BRIDGEPORT, CT 06606(203) 576-6000 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie Sudikoff Md NPPES

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

STEPHANIE SUDIKOFF MD (NPI 1487609756) is an individual pediatric critical care medicine provider in Bridgeport, Connecticut, licensed in Connecticut (34603) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487609756
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameSTEPHANIE SUDIKOFFCredential: MD
Location Address2800 MAIN STBridgeport, CT 06606-4201
Mailing Address1290 Silas Deane HwyWethersfield, CT 06109-4337 · (860) 972-5507 · Fax (860) 972-7040
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1487609756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in CT · 34603✔ Licensed in RI · 10794
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
2800 MAIN ST, Bridgeport, CT 06606

Other Identifiers 1

Medicaid7009818RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Sudikoff Md 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

2

Medicare enrollment records show Stephanie Sudikoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 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.

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.

Student in an Organized Health Care Education/Training Program
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Family Medicine
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Emergency Medicine
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Nurse Anesthetist, Certified Registered
2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Physician Assistant (Medical)
2800 MAIN ST
BRIDGEPORT, CT 06606

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 Stephanie Sudikoff's NPI number?

The NPI number for Stephanie Sudikoff is 1487609756. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Stephanie Sudikoff located?

Stephanie Sudikoff practices at 2800 Main St, Bridgeport, CT 06606. The listed phone number is (203) 576-6000.

What is Stephanie Sudikoff's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Stephanie Sudikoff enrolled in Medicare?

Yes. Stephanie Sudikoff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Sudikoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Sudikoff reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Stephanie Sudikoff'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 Stephanie Sudikoff was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.