DR. MARIANN M CLUBB M.D.
NPI 1609867589
Anesthesiology in East Hartford, CT
About Dr. Mariann M Clubb M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIANN M CLUBB M.D. (NPI 1609867589) is an individual anesthesiology provider in East Hartford, Connecticut, licensed in Connecticut (036117) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mariann M Clubb M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mariann Clubb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shelton, CT 06484
- Reassigned Medicare billing, Connecticut enrollment
- 727 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.
Areas of Expertise CMS Part B claims 4
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.
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.
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
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 Mariann Clubb's NPI number?
The NPI number for Mariann Clubb is 1609867589. It was assigned to this individual provider in the NPPES registry on October 31, 2005.
Where is Mariann Clubb located?
Mariann Clubb practices at 111 Founders Plz #300 C/O Ipms, East Hartford, CT 06108. The listed phone number is (860) 282-4137.
What is Mariann Clubb's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Mariann Clubb enrolled in Medicare?
Yes. Mariann Clubb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mariann Clubb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariann Clubb reassigns Medicare benefits to Integrated Anesthesia Associates LLC (Shelton, 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 Mariann Clubb'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 Mariann Clubb was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Mariann M Clubb, M.D. · NPI 1609867589
Anesthesiology physician in East Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since October 31, 2005.
## Identity
- **NPI:** 1609867589 (Entity type: Individual)
- **Enumerated:** October 31, 2005
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 036117 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 FOUNDERS PLZ, #300 C/O IPMS, East Hartford, CT 06108-3212
- **Phone:** (860) 282-4137 · **Fax:** (860) 282-0170
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Integrated Anesthesia Associates LLC (NPI 1881636397, Shelton, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** May 6, 2014
- **Other identifiers:** Medicaid 001361170 (CT); Medicare UPIN G50866; Medicare ID-Type Unspecified 050001004 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1609867589) · Data from the CMS NPPES public registry.