DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE, LLC
NPI 1972758183
Clinic/Center - Ambulatory Surgical in Branford, CT

Active since December 02, 2008CLIA 07D2091782 · Waiver
687 MAIN ST, BRANFORD, CT 06405(203) 481-0315(203) 488-6945 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2022, Nov 2, 2017 (2 updates tracked since 2017).

About Digestive Disease Associates Endoscopy Suite, Llc NPPES

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

DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE, LLC (NPI 1972758183) is a healthcare organization registered as an ambulatory surgical in Branford, Connecticut and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Christopher Dunbar Illick, Partner, as its authorized official.

NPPES Registry Identity

NPI1972758183
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE, LLC
Location Address687 MAIN STBranford, CT 06405-3612
Mailing Address687 Main StBranford, CT 06405-3612 · (203) 481-0315 · Fax (203) 488-6945
Fax(203) 488-6945
Organization SubpartNo
Authorized OfficialChristopher Dunbar IllickPartner · (203) 481-0315
Enumeration DateDecember 2, 2008
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1972758183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CT · 0322
687 MAIN ST, Branford, CT 06405

Other Identifiers 1

Other07C0001054CT · Ccn Centers For Medicare And Medicaid Services Certification Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Digestive Disease Associates Endoscopy Suite, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Digestive Disease Associates Endoscopy Suite, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1316396690
687 MAIN ST
Branford, CT 06405
(617) 732-6660
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1225357809
1224 MAIN ST
Branford, CT 06405
(203) 481-0315
✔ PECOS✔ Accepts Medicare1.7 mi
Gastroenterology
NPI 1821257742
40 TEMPLE ST SUITE 4A
New Haven, CT 06510
(203) 777-0304
✔ PECOS✔ Accepts Medicare4.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2091782

Digestive Disease Associates Endoscopy Suite · Branford, CT
Active · expires Feb 18, 2027
CLIA Number07D2091782
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorMichael Dorfman
Laboratory Phone(203) 481-0315
Laboratory LocationDigestive Disease Associates Endoscopy Suite687 Main St Rear Building, Branford, CT 06405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
260 services259 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
196 services191 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
105 services104 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
94 services93 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
13 services13 patients

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 Digestive Disease Associates Endoscopy Suite, LLC's NPI number?

The NPI number for Digestive Disease Associates Endoscopy Suite, LLC is 1972758183. It was assigned to this organization in the NPPES registry on December 2, 2008.

Where is Digestive Disease Associates Endoscopy Suite, LLC located?

Digestive Disease Associates Endoscopy Suite, LLC is located at 687 Main St, Branford, CT 06405. The listed phone number is (203) 481-0315.

What is Digestive Disease Associates Endoscopy Suite, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Digestive Disease Associates Endoscopy Suite, LLC enrolled in Medicare?

Yes. Digestive Disease Associates Endoscopy Suite, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Digestive Disease Associates Endoscopy Suite, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Digestive Disease Associates Endoscopy Suite, LLC, in Gastroenterology and Internal Medicine. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Digestive Disease Associates Endoscopy Suite, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2091782) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Digestive Disease Associates Endoscopy Suite, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Digestive Disease Associates Endoscopy Suite, LLC 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 Digestive Disease Associates Endoscopy Suite, LLC was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.