Individual provider Active NPI

Anastasia Koptelova, MD

  • Anesthesiology Physician
  • New Haven, CT
National Provider Identifier
1023646015
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
82710 Issued in CT
Practice address
333 Cedar St
New Haven, CT 06510-3206
Phone
(203) 688-4242
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 82710 CT Primary

Addresses

Primary practice location

333 Cedar St
New Haven, CT 06510-3206

Mailing address

333 Cedar St
New Haven, CT 06510-3206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241205000564 MO Practitioner - Anesthesiology 6901225523 Reassigns benefits to 2 organizations
I20250923000449 CT Practitioner - Anesthesiology 6901225523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Integrated Anesthesia Associates LLCGroup PAC ID 1759281165, 402 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-2819

20 York St
New Haven, CT 06510-3220
Phone (203) 785-4638

80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82710CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Missouri, LLC Anesthesiology CurrentSince Apr 15, 2025 Accepting new patients
Yale University CurrentSince Oct 16, 2025 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Aug 5, 2025 Accepting new patients
Northstar Anesthesia of Missouri, LLC Anesthesiology CurrentSince Sep 27, 2024 Accepting new patients
Yale University Anesthesiology CurrentSince Oct 16, 2025 Accepting new patients

Locations

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

333 Cedar St
New Haven, CT 06510
Phone (203) 432-4771

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1023646015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPTELOVA",
        "first_name": "ANASTASIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "82710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.