DR. MARY C FRAGA M.D.
NPI 1821357039
Pediatrics in Trumbull, CT
About Dr. Mary C Fraga M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY C FRAGA M.D. (NPI 1821357039) is an individual pediatrics provider in Trumbull, Connecticut, licensed in Connecticut (054211) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mary C Fraga M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Fraga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 601 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 06611 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Fraga's NPI number?
The NPI number for Mary Fraga is 1821357039. It was assigned to this individual provider in the NPPES registry on May 8, 2012.
Where is Mary Fraga located?
Mary Fraga practices at 4141 Madison Ave, Trumbull, CT 06611. The listed phone number is (203) 371-8790.
What is Mary Fraga's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mary Fraga enrolled in Medicare?
Yes. Mary Fraga is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Fraga's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Fraga reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, 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 Mary Fraga'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 Mary Fraga was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Dr. Mary C Fraga, M.D. · NPI 1821357039
Pediatrics physician in Trumbull, Connecticut. Individual provider, active in the CMS NPPES registry since May 8, 2012.
## Identity
- **NPI:** 1821357039 (Entity type: Individual)
- **Enumerated:** May 8, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 054211 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 4141 MADISON AVE, Trumbull, CT 06611-3506
- **Phone:** (203) 371-8790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Connecticut Children's Specialty Group, Inc. (NPI 1669448882, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Rochester School Of Medicine And Dentistry, class of 2012
## Record status
- **NPPES last updated:** October 22, 2025
- **Other identifiers:** Medicaid 04542210 (NY); Medicaid 1821357039 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1821357039) · Data from the CMS NPPES public registry.