ELLEN POLOKOFF MD
NPI 1487671178
Surgery in Southbury, CT
About Ellen Polokoff Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN POLOKOFF MD (NPI 1487671178) is an individual surgery provider in Southbury, Connecticut, licensed in Connecticut (035653) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Polokoff Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellen Polokoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06488 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHBURY, CT 06488
SOUTHBURY, CT 06488
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 Ellen Polokoff's NPI number?
The NPI number for Ellen Polokoff is 1487671178. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Ellen Polokoff located?
Ellen Polokoff practices at 900 Main St S Bldg 2, Suite 101, Southbury, CT 06488. The listed phone number is (203) 262-2300.
What is Ellen Polokoff's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Ellen Polokoff enrolled in Medicare?
Yes. Ellen Polokoff is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellen Polokoff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Polokoff reassigns Medicare benefits to Trinity Health Of New England Provider Network Organization Inc (Hartford, 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 Ellen Polokoff'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 Ellen Polokoff was last updated on October 28, 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.
# Ellen Polokoff, MD · NPI 1487671178
Surgery physician in Southbury, Connecticut. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1487671178 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 035653 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 MAIN ST S, BLDG 2, SUITE 101, Southbury, CT 06488-4237
- **Phone:** (203) 262-2300 · **Fax:** (203) 262-2305
## 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:** Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2021
- **Other identifiers:** Medicaid 001356535 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1487671178) · Data from the CMS NPPES public registry.