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ERISA GJINAJ DO
NPI 1881331452
Family Medicine in Bloomfield, CT

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment
701 COTTAGE GROVE RD STE D110, BLOOMFIELD, CT 06002(860) 530-2014(860) 242-6840 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2025, May 16, 2022 (2 updates tracked since 2022).

About Erisa Gjinaj Do NPPES

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

ERISA GJINAJ DO (NPI 1881331452) is an individual family medicine provider in Bloomfield, Connecticut, licensed in Connecticut (82365) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2022).

NPPES Registry Identity

NPI1881331452
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERISA GJINAJCredential: DO
Location Address701 COTTAGE GROVE RD STE D110Bloomfield, CT 06002-3085
Mailing Address95 Woodland St Fl 1Hartford, CT 06105-1230 · (860) 714-7362 · Fax (860) 714-8140
Phone(860) 530-2014
Fax(860) 242-6840
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2022
Enumeration DateMay 16, 2022
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1881331452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 82365
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
701 COTTAGE GROVE RD STE D110, Bloomfield, CT 06002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Erisa Gjinaj Do 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 ID3375043615
PECOS Enrollment IDI20250821003955
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 Erisa Gjinaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Collins Medical Associates 2 PC
3.1 mi
Internal Medicine
95 WOODLAND ST FL 1
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 45 clinicians in this Medicare group
NPI 1912928169 (860) 714-7362

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 06002 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 2

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

JOHN WENCESLAO MD
Internal Medicine
701 COTTAGE GROVE RD STE D110
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 530-2014
BECHARA BARRAK MD
Internal Medicine
701 COTTAGE GROVE RD STE D110
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 530-2014

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 Erisa Gjinaj's NPI number?

The NPI number for Erisa Gjinaj is 1881331452. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Erisa Gjinaj located?

Erisa Gjinaj practices at 701 Cottage Grove Rd Ste D110, Bloomfield, CT 06002. The listed phone number is (860) 530-2014.

What is Erisa Gjinaj's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erisa Gjinaj enrolled in Medicare?

Yes. Erisa Gjinaj 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 Erisa Gjinaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erisa Gjinaj reassigns Medicare benefits to Collins Medical Associates 2 PC (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 Erisa Gjinaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erisa Gjinaj accept?

Health plans from Anthem Blue Cross and Blue Shield list Erisa Gjinaj 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 Erisa Gjinaj was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.