Individual provider Active NPI

Kellen Sikora, M.D.

  • Obstetrics & Gynecology Physician
  • Norwich, CT
National Provider Identifier
1568754174
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
53928 Issued in CT
Practice address
17 Case St
Norwich, CT 06360-2208
Phone
(860) 886-2461
NPI assigned
May 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 53928 CT Primary

Addresses

Primary practice location

17 Case St
Norwich, CT 06360-2208

Mailing address

17 Case St
Norwich, CT 06360-2208

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150501000071 CT Practitioner - Obstetrics/Gynecology 1153640875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Services, P.C.Group PAC ID 1850373077, 17 clinicians

Practice addresses (Care Compare)

17 Case St
Norwich, CT 06360-2208
Phone (860) 889-2909

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53928CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Day Kimball Medical Group Inc Obstetrics & Gynecology CurrentSince Apr 25, 2018 Accepting new patients
OB-GYN Services, P.C. Obstetrics & Gynecology CurrentSince Oct 18, 2015 Accepting new patients
United Community and Family Services, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Sep 1, 2016 Accepting new patients
United Community and Family Services, Inc. Obstetrics & Gynecology CurrentSince Jun 1, 2016 Accepting new patients

Locations

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

212 Upton Rd
Ste C
Colchester, CT 06415
Phone (860) 537-7676

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

351 N Frontage Rd
Ste 24
New London, CT 06320
Phone (860) 442-4319

330 Washington St
Ste 340
Norwich, CT 06360
Phone (860) 889-2909

17 Case St
Norwich, CT 06360
Phone (860) 886-2461

47 Town St
Norwich, CT 06360

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Organizations & group practices 5

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

Hospital & facility affiliations 3

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": "1305417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1568754174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602208",
            "telephone_number": "860-886-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "KELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "53928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.