Infectious Disease Specialists of Connecticut, LLC
NPI 1336374339ActiveOrganization· Internal Medicine, Infectious Disease· Bridgeport, CT
Internal Medicine, Infectious Disease in Bridgeport, Connecticut, registered in NPPES in May 2009. The authorized official on file is Grace P. Kim, M.D., Member.
Overview
| NPI | 1336374339 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2009 |
| Last updated in NPPES | Aug 18, 2022 |
| Certified by provider | Aug 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | 031353 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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