KISMATKUMAR DETROJA MD
NPI 1497774657
Internal Medicine in Middletown, CT
About Kismatkumar Detroja Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KISMATKUMAR DETROJA MD (NPI 1497774657) is an individual internal medicine provider in Middletown, Connecticut, licensed in Connecticut (044462) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kismatkumar Detroja Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kismatkumar Detroja reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, CT 06457
- Reassigned Medicare billing, Connecticut enrollment
- 89 clinicians in this Medicare group
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 130 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 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 06457 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
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 Kismatkumar Detroja's NPI number?
The NPI number for Kismatkumar Detroja is 1497774657. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Kismatkumar Detroja located?
Kismatkumar Detroja practices at 1000 Silver Street, Middletown, CT 06457. The listed phone number is (860) 951-4954.
What is Kismatkumar Detroja's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kismatkumar Detroja enrolled in Medicare?
Yes. Kismatkumar Detroja is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kismatkumar Detroja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kismatkumar Detroja reassigns Medicare benefits to 4 organizations: State Of Connecticut (Middletown, CT), Windham Community Memorial Hospital, Inc. (Willimantic, CT), Hospitalist Medicine Physicians Of Connecticut, LLC (Manchester, CT) and William W Backus Hospital (Norwich, 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 Kismatkumar Detroja'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 Kismatkumar Detroja was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kismatkumar Detroja, MD · NPI 1497774657
Internal Medicine physician in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1497774657 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 044462 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 SILVER STREET, Middletown, CT 06457
- **Phone:** (860) 951-4954
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): State Of Connecticut (NPI 1245256247, Middletown, CT); Windham Community Memorial Hospital, Inc. (NPI 1023191467, Willimantic, CT); Hospitalist Medicine Physicians Of Connecticut, LLC (NPI 1558696153, Manchester, CT); William W Backus Hospital (NPI 1730243536, Norwich, CT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2023
- **Other identifiers:** Other 010044462CT01 (CT); Medicaid 001444629 (CT); Other 144462 (CT); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1497774657) · Data from the CMS NPPES public registry.