KATHERINE RIDDLE
NPI 1669866588
Obstetrics & Gynecology in South Windsor, CT
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
Specialties & Licenses 2
Secondary Practice Location 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Katherine Riddle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Windsor, CT 06074
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Obgyn Group Of Eastern Connecticut PC
- 15 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.
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.
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.
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.
SOUTH WINDSOR, CT 06074
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.
Which organization bills Medicare for Katherine Riddle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Riddle reassigns Medicare benefits to Obgyn Group Of Eastern Connecticut, P.C. (South Windsor, 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 Katherine Riddle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Riddle accept?
Health plans from Anthem Blue Cross and Blue Shield list Katherine Riddle 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 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.
# Katherine Riddle · NPI 1669866588
Obstetrics & Gynecology physician in South Windsor, Connecticut. Individual provider, active in the CMS NPPES registry since March 28, 2015.
## Identity
- **NPI:** 1669866588 (Entity type: Individual)
- **Enumerated:** March 28, 2015
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 63724 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2600 TAMARACK AVE STE 200, South Windsor, CT 06074-5560
- **Phone:** (860) 646-1157
## 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:** Obgyn Group Of Eastern Connecticut, P.C. (NPI 1376756908, South Windsor, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** January 22, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1669866588) · Data from the CMS NPPES public registry.