Suzanne J Klekotka, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

023818 Issued in CT

Practice address

155 Montauk Ave
New London, CT 06320-4842

Phone

(860) 444-2223

Fax

(860) 440-3153

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Recovery Twelve Solutions, Inc.

  • Mental Health Counselor
  • New London, CT
  • NPI 1821754649
  NPD (past)
• Southeastern Pulmonary Assoc. PC

  • Pulmonary Disease Physician
  • New London, CT
  • NPI 1295754273
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1093733875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204842",
            "telephone_number": "860-444-2223",
            "fax_number": "860-440-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204842",
            "telephone_number": "860-444-2223",
            "fax_number": "860-440-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEKOTKA",
        "first_name": "SUZANNE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "023818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1238189",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Kilmer, APRN
• Caitlin E Kimberlin, LMSW
• Elliot Harold Kimmel, DDS,MS
• Brandie King
• Randi L Kington, APRN
• Margaret Klinger, LPC
• Kendra M. Knight, LCSW
• Nicole Knox-Vilchez
• Brenda Koblick, MD
• Kenneth Koelle, CRNA

• Internal Medicine Physician in New London, CT
• Providers in New London, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.