DR. SANDRA I ESCALERA MD
NPI 1669451530
Pediatrics - Pediatric Gastroenterology in New Haven, CT

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
1 PARK ST, NEW HAVEN, CT 06504(203) 785-4649(203) 737-1384 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sandra I Escalera Md NPPES

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

DR. SANDRA I ESCALERA MD (NPI 1669451530) is an individual pediatric gastroenterology provider in New Haven, Connecticut, licensed in Connecticut (035579) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1669451530
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. SANDRA I ESCALERACredential: MD
Location Address1 PARK STNew Haven, CT 06504-8901
Mailing AddressPo Box 206084New Haven, CT 06520-6084 · (203) 785-4649 · Fax (203) 737-1384
Fax(203) 737-1384
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 10, 2006
Last NPPES UpdateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1669451530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in CT · 035579
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
1 PARK ST, New Haven, CT 06504

Other Identifiers 1

Medicaid001355793CT

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. Sandra I Escalera Md 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.

PECOS PAC ID9739171133
PECOS Enrollment IDI20040402000816
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 Reassignments

2

Medicare enrollment records show Sandra Escalera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06504 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.

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.

Pediatrics (Pediatric Cardiology)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics
1 PARK ST
NEW HAVEN, CT 06504
Audiologist
1 PARK ST
NEW HAVEN, CT 06504
Dentist (Pediatric Dentistry)
1 PARK ST
NEW HAVEN, CT 06504
Nurse Practitioner (Pediatrics)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics (Pediatric Gastroenterology)
1 PARK ST
NEW HAVEN, CT 06504
Pediatrics (Pediatric Nephrology)
1 PARK ST
NEW HAVEN, CT 06504

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 Sandra Escalera's NPI number?

The NPI number for Sandra Escalera is 1669451530. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Sandra Escalera located?

Sandra Escalera practices at 1 Park St, New Haven, CT 06504. The listed phone number is (203) 785-4649.

What is Sandra Escalera's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Sandra Escalera enrolled in Medicare?

Yes. Sandra Escalera 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 Sandra Escalera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Escalera reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Prohealth Physicians PC (Farmington, 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 Sandra Escalera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Escalera accept?

Health plans from Anthem Blue Cross and Blue Shield list Sandra Escalera 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 Sandra Escalera was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.