Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIDIA MIKOLAENKO
NPI 1497175228
Family Medicine in Waterbury, CT

Active since April 19, 2014PECOS Enrolled
80 PHOENIX AVE STE 201, WATERBURY, CT 06702(203) 756-8021 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 5, 2026, Nov 28, 2022 (2 updates tracked since 2022).

About Lidia Mikolaenko NPPES

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

LIDIA MIKOLAENKO (NPI 1497175228) is an individual family medicine provider in Waterbury, Connecticut, licensed in Connecticut (57241) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497175228
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLIDIA MIKOLAENKO
Location Address80 PHOENIX AVE STE 201Waterbury, CT 06702-1418
Mailing Address80 Phoenix Ave Ste 201Waterbury, CT 06702-1418 · (203) 756-8021
Sole ProprietorNo
Enumeration DateApril 19, 2014
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1497175228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CT · 57241✔ Licensed in NY · 290112
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
80 PHOENIX AVE STE 201, Waterbury, CT 06702

Secondary Practice Locations 2

Location 159 Southern BlvdNesconset, NY 11767-1090 · Phone (631) 628-5000
Location 23125 Transverse Dr, Health Science Campus Health CenterToledo, OH 43614-8008 · Phone (419) 383-3771 · Fax (419) 383-3162

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lidia Mikolaenko 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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
586 services334 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
376 services255 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
305 services238 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
257 services209 patients
Microscopic examination for white blood cells with manual cell count 85007
This is a lab test where a small sample of your blood is studied under a microscope. The goal is to count the number of white blood cells, which are crucial for your body's immune response. The count can help identify potential health issues.
252 services205 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
247 services204 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
80 PHOENIX AVE STE 201
WATERBURY, CT 06702
Pediatrics
80 PHOENIX AVE STE 201
WATERBURY, CT 06702
Social Worker
80 PHOENIX AVE STE 201
WATERBURY, CT 06702
Dental Hygienist
80 PHOENIX AVE STE 201
WATERBURY, CT 06702
Dental Hygienist
80 PHOENIX AVE STE 201
WATERBURY, CT 06702
Physician Assistant
80 PHOENIX AVE STE 201
WATERBURY, CT 06702
Social Worker
80 PHOENIX AVE STE 201
WATERBURY, CT 06702
Internal Medicine
80 PHOENIX AVE STE 201
WATERBURY, CT 06702

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 Lidia Mikolaenko's NPI number?

The NPI number for Lidia Mikolaenko is 1497175228. It was assigned to this individual provider in the NPPES registry on April 19, 2014.

Where is Lidia Mikolaenko located?

Lidia Mikolaenko practices at 80 Phoenix Ave Ste 201, Waterbury, CT 06702. The listed phone number is (203) 756-8021.

What is Lidia Mikolaenko's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lidia Mikolaenko enrolled in Medicare?

Yes. Lidia Mikolaenko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lidia Mikolaenko was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.