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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Idelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University
Same address
Health Service
55 LOCK ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1205822236 (Connecticut)
  • 149 clinicians in this Medicare group
NPI 1093862740 (203) 432-0076

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 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.

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.

JANE JEEHYUN KWON MD
Pediatrics
55 LOCK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 432-0206
DAYSI PATRICIA REYES BARNES RN
Registered Nurse
55 LOCK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 432-0246
SAMANTHA OJEDA
Psychologist (Clinical)
55 LOCK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 432-0290
TAMIRES TIBURTINO
Psychologist
55 LOCK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 432-0290
MRS. GILLIAN D RALLS PA-C
Physician Assistant (Medical)
55 LOCK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 432-7978
ROMINA TANELLARI
Social Worker (Clinical)
55 LOCK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 432-0290
YALE UNIVERSITY
Clinic/Center (Health Service)
55 LOCK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 432-0076
DELISA QUAYSON MD
Obstetrics & Gynecology
55 LOCK ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 432-0222

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 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.

Where is Douglas Idelson located?

Douglas Idelson practices at 55 Lock St, New Haven, CT 06511. The listed phone number is (203) 432-0206.

What is Douglas Idelson's specialty?

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

Is Douglas Idelson enrolled in Medicare?

Yes. Douglas Idelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Idelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Idelson reassigns Medicare benefits to Yale University (New Haven, 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 Douglas Idelson'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 Douglas Idelson was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.