DR. DOUGLAS L IDELSON M.D.
NPI 1629004452
Pediatrics in New Haven, CT

Q: What is Douglas Idelson's NPI number?

The NPI number for Douglas Idelson is 1629004452. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Douglas Idelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Idelson was last updated on October 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2006PECOS Enrolled

55 LOCK ST, NEW HAVEN, CT 06511(203) 432-0206(203) 432-0072 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Douglas L Idelson M.d. NPPES

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

DR. DOUGLAS L IDELSON M.D. (NPI 1629004452) is an individual pediatrics provider in New Haven, Connecticut, licensed in Connecticut (039521) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629004452

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DOUGLAS L IDELSONCredential: M.D.

Location Address55 LOCK STNew Haven, CT 06511-3603

Mailing Address55 Lock StNew Haven, CT 06511-3603 · (203) 432-0206 · Fax (203) 432-0072

Phone(203) 432-0206

Fax(203) 432-0072

Sole ProprietorYes

Enumeration DateJune 23, 2006

Last NPPES UpdateOctober 4, 2016

✔ NPI 1629004452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CT · 039521

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

55 LOCK ST, New Haven, CT 06511

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Other Identifiers 1

Medicare UPINH42098CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas L Idelson M.d. 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 06511 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.