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DR. SUSAN DENISE FITZGERALD ELY MD, MPHTM
NPI 1871103663
Pathology - Anatomic Pathology & Clinical Pathology in New Haven, CT

Active since August 06, 2020PECOS Enrolled
310 CEDAR ST # B37K, NEW HAVEN, CT 06510(203) 785-3830 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2025, Aug 6, 2020 (2 updates tracked since 2020).

About Dr. Susan Denise Fitzgerald Ely Md, Mphtm NPPES

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

DR. SUSAN DENISE FITZGERALD ELY MD, MPHTM (NPI 1871103663) is an individual anatomic pathology & clinical pathology provider in New Haven, Connecticut, licensed in Connecticut (73089) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871103663
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. SUSAN DENISE FITZGERALD ELYCredential: MD, MPHTM
Location Address310 CEDAR ST # B37KNew Haven, CT 06510-3218
Mailing Address310 Cedar St # B37kNew Haven, CT 06510-3218 · (203) 785-3830
Phone(203) 785-3830
Sole ProprietorYes
Enumeration DateAugust 6, 2020
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1871103663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CT · 73089
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Forensic PathologyTaxonomy 207ZF0201X · License 204911 (NY)
310 CEDAR ST # B37K, New Haven, CT 06510
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Denise Fitzgerald Ely Md, Mphtm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Susan Fitzgerald Ely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University
0.3 mi
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
NPI 1124148887 (203) 737-5432

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 06510 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.

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 Susan Fitzgerald Ely's NPI number?

The NPI number for Susan Fitzgerald Ely is 1871103663. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Susan Fitzgerald Ely located?

Susan Fitzgerald Ely practices at 310 Cedar St # B37k, New Haven, CT 06510. The listed phone number is (203) 785-3830.

What is Susan Fitzgerald Ely's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Susan Fitzgerald Ely enrolled in Medicare?

Yes. Susan Fitzgerald Ely is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Fitzgerald Ely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Fitzgerald Ely reassigns Medicare benefits to Yale University (New Haven, 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 Susan Fitzgerald Ely'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 Susan Fitzgerald Ely was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.