DR. KIMBERLY C. RIQUELME D.O.
NPI 1619282191
Psychiatry & Neurology - Child & Adolescent Psychiatry in Groton, CT
About Dr. Kimberly C. Riquelme D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY C. RIQUELME D.O. (NPI 1619282191) is an individual child & adolescent psychiatry provider in Groton, Connecticut, licensed in Connecticut (54151) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Old Saybrook, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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. Kimberly C. Riquelme D.o. 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 Reassignments
3Medicare enrollment records show Kimberly Riquelme reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mansfield Center, CT 06250
- Reassigned Medicare billing, Connecticut enrollment
- 200 clinicians in this Medicare group
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 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.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kimberly Riquelme's NPI number?
The NPI number for Kimberly Riquelme is 1619282191. It was assigned to this individual provider in the NPPES registry on August 9, 2010. The provider is also known as Kimberly C. Schreck D.O..
Where is Kimberly Riquelme located?
Kimberly Riquelme practices at 1353 Gold Star Hwy, Groton, CT 06340. The listed phone number is (860) 449-9947.
What is Kimberly Riquelme's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Kimberly Riquelme enrolled in Medicare?
Yes. Kimberly Riquelme 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 organizations bill Medicare for Kimberly Riquelme's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Riquelme reassigns Medicare benefits to 3 organizations: Natchaug Hospital, Inc. (Mansfield Center, CT), Windham Community Memorial Hospital, Inc. (Willimantic, CT) and Mill Hill Medical Consultants Inc (New Haven, 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 Kimberly Riquelme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Riquelme accept?
Health plans from Anthem Blue Cross and Blue Shield list Kimberly Riquelme 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 Kimberly Riquelme was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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. Kimberly C. Riquelme, D.O. · NPI 1619282191
Child & Adolescent Psychiatry physician in Groton, Connecticut. Individual provider, active in the CMS NPPES registry since August 9, 2010.
## Identity
- **NPI:** 1619282191 (Entity type: Individual)
- **Enumerated:** August 9, 2010
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 54151 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1353 GOLD STAR HWY, Groton, CT 06340
- **Phone:** (860) 449-9947
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Natchaug Hospital, Inc. (NPI 1295811321, Mansfield Center, CT); Windham Community Memorial Hospital, Inc. (NPI 1023191467, Willimantic, CT); Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2010
## Record status
- **NPPES last updated:** July 3, 2018
- **Other identifiers:** Other 54151 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1619282191) · Data from the CMS NPPES public registry.