MIDSTATE GASTROENTEROLOGY SPECIALISTS PC
NPI 1487677951
Internal Medicine - Gastroenterology in Meriden, CT
About Midstate Gastroenterology Specialists Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDSTATE GASTROENTEROLOGY SPECIALISTS PC (NPI 1487677951) is a healthcare organization registered as a gastroenterology in Meriden, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists David M. Sack, President, 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)
Midstate Gastroenterology Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Midstate Gastroenterology Specialists PC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (20)
New Haven, CT 06510
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 07D2199508
Midstate Gastroenterology Specialists · Meriden, 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 Midstate Gastroenterology Specialists PC's NPI number?
The NPI number for Midstate Gastroenterology Specialists PC is 1487677951. It was assigned to this organization in the NPPES registry on July 25, 2006.
Where is Midstate Gastroenterology Specialists PC located?
Midstate Gastroenterology Specialists PC is located at 455 Lewis Ave Suite 105, Meriden, CT 06451. The listed phone number is (203) 237-2477.
What is Midstate Gastroenterology Specialists PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Midstate Gastroenterology Specialists PC enrolled in Medicare?
Yes. Midstate Gastroenterology Specialists PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midstate Gastroenterology Specialists PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Midstate Gastroenterology Specialists PC. 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. The largest specialties are Anesthesiology (10), Certified Registered Nurse Anesthetist (CRNA) (5) and Gastroenterology (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Midstate Gastroenterology Specialists PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2199508) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Midstate Gastroenterology Specialists PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Midstate Gastroenterology Specialists PC 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 Midstate Gastroenterology Specialists PC was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Midstate Gastroenterology Specialists Pc · NPI 1487677951
Gastroenterology organization in Meriden, Connecticut. Organization record, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1487677951 (Entity type: Organization)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** David Sack, PRESIDENT
## Practice location
- **Address:** 455 LEWIS AVE, SUITE 105, Meriden, CT 06451-2121
- **Phone:** (203) 237-2477 · **Fax:** (203) 238-1839
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (10), Certified Registered Nurse Anesthetist (CRNA) (5), Gastroenterology (3); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2007
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487677951) · Data from the CMS NPPES public registry.