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KISMATKUMAR DETROJA MD
NPI 1497774657
Internal Medicine in Middletown, CT

Active since July 19, 2006PECOS Enrolled
95.83/100
CMS Quality Rating
1000 SILVER STREET, MIDDLETOWN, CT 06457(860) 951-4954 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1497774657
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKISMATKUMAR DETROJACredential: MD
Location Address1000 SILVER STREETMiddletown, CT 06457
Mailing Address170 Talcott Ridge RdSouth Windsor, CT 06074-2386 · (860) 794-9160
Phone(860) 951-4954
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1497774657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 044462
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1000 SILVER STREET, Middletown, CT 06457
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Other Identifiers 11

Other010044462CT01CT · Bcbs
Medicaid001444629CT
Other144462CT · Connecticare
Other1497774657CT · Chn
Other149777465Cigna
Other207787971Tricare
Other41044914Tricare
Other7382858Aetna
Other581828CT · Hmn
Other7382858CT · Aetna
Other1497774657CT · Cigna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kismatkumar Detroja 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.

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.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
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.

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.

95.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability100
Improvement Activities40
Cost69.53

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%76 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KENDALL ELIZABETH COTE APRN
Nurse Practitioner (Family)
1000 SILVER STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 942-6983
GEORGE AGYAPONG MD
Internal Medicine
1000 SILVER STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5128
GAIL FARMER PELOQUIN LCSW
Social Worker (Clinical)
1000 SILVER STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5283
KATARZYNA ZINOWKO APRN
Nurse Practitioner (Psychiatric/Mental Health)
1000 SILVER STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 810-8010
MARY KRAEER RN, LCSW
Social Worker (Clinical)
1000 SILVER STREET, RVS - DUTTON HOME
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5720
DR. LAURA PALMESE PSY.D.
Psychologist (Clinical)
1000 SILVER STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-6519
MS. SHEILA COX VAN DEN BROECK LCSW
Social Worker (Clinical)
1000 SILVER STREET
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5358
SCOTT WELSH M.D.
Internal Medicine
1000 SILVER STREET, CVH, DEPARTMENT OF AMBULATORY CARE SERVICES
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5000

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.

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.