KATHERINE RIDDLE
NPI 1669866588
Obstetrics & Gynecology in South Windsor, CT

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment
2600 TAMARACK AVE STE 200, SOUTH WINDSOR, CT 06074(860) 646-1157 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Riddle NPPES

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

KATHERINE RIDDLE (NPI 1669866588) is an individual obstetrics & gynecology provider in South Windsor, Connecticut, licensed in Connecticut (63724) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ypsilanti, and is a graduate of Creighton University School Of Medicine (2015).

NPPES Registry Identity

NPI1669866588
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHERINE RIDDLE
Location Address2600 TAMARACK AVE STE 200South Windsor, CT 06074-5560
Mailing Address2600 Tamarack Ave Ste 200South Windsor, CT 06074-5560 · (203) 641-0800
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2015
Enumeration DateMarch 28, 2015
Last NPPES UpdateJanuary 22, 2020
NPI 1669866588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CT · 63724
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2600 TAMARACK AVE STE 200, South Windsor, CT 06074

Secondary Practice Location 1

Location 15301 McAuley DrYpsilanti, MI 48197-1051 · Phone (734) 712-3456

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katherine Riddle 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 ID1355655812
PECOS Enrollment IDI20190905001744
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06074 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
2600 TAMARACK AVE STE 200
SOUTH WINDSOR, CT 06074
Obstetrics & Gynecology
2600 TAMARACK AVE STE 200
SOUTH WINDSOR, CT 06074
Obstetrics & Gynecology
2600 TAMARACK AVE STE 200
SOUTH WINDSOR, CT 06074
Advanced Practice Midwife
2600 TAMARACK AVE STE 200
SOUTH WINDSOR, CT 06074
Obstetrics & Gynecology
2600 TAMARACK AVE STE 200
SOUTH WINDSOR, CT 06074
Nurse Practitioner (Family)
2600 TAMARACK AVE STE 200
SOUTH WINDSOR, CT 06074
Advanced Practice Midwife
2600 TAMARACK AVE STE 200
SOUTH WINDSOR, CT 06074
Obstetrics & Gynecology
2600 TAMARACK AVE STE 200
SOUTH WINDSOR, CT 06074

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 Katherine Riddle's NPI number?

The NPI number for Katherine Riddle is 1669866588. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Katherine Riddle located?

Katherine Riddle practices at 2600 Tamarack Ave Ste 200, South Windsor, CT 06074. The listed phone number is (860) 646-1157.

What is Katherine Riddle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katherine Riddle enrolled in Medicare?

Yes. Katherine Riddle 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.

When was this NPI record last updated?

The NPPES record for Katherine Riddle was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.