1. Home
  2. Directory
  3. Connecticut
  4. Trumbull
  5. Pediatrics
  6. NPI Profile

DR. MARY C FRAGA M.D.
NPI 1821357039
Pediatrics in Trumbull, CT

Active since May 08, 2012PECOS Enrolled
4141 MADISON AVE, TRUMBULL, CT 06611(203) 371-8790 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2018, Mar 31, 2016 (2 updates tracked since 2016).

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

NPI1821357039
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY C FRAGACredential: M.D.
Location Address4141 MADISON AVETrumbull, CT 06611-3506
Mailing Address210 Westchester AveWhite Plains, NY 10604-2901 · (914) 682-0731 · Fax (914) 681-5289
Phone(203) 371-8790
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2012
Enumeration DateMay 8, 2012
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1821357039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 054211
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.

4141 MADISON AVE, Trumbull, CT 06611
Open in Google Maps ↗

Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9000

Other Identifiers 2

Medicaid04542210NY
Medicaid1821357039CT

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID9739678624
PECOS Enrollment IDI20251030002742
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.

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.

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 3

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

MRS. MARNIE B. FREY APRN
Nurse Practitioner (Pediatrics)
4141 MADISON AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 371-8790
DR. KATHRYN A BAKER D.O.
Pediatrics
4141 MADISON AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 371-8790
BAKER PEDIATRICS, LLC
Pediatrics
4141 MADISON AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 371-8790

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.

When was this NPI record last updated?

The NPPES record for Mary Fraga was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.