TOMOR SEDALIU – Hospitalist Physician, NPI 1003355850

TOMOR SEDALIU is a healthcare provider. based in Sandy hook, Connecticut. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold a License No. ME170112 (FL). The NPI Number for TOMOR SEDALIU is 1003355850

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
TOMOR SEDALIU
NPI
1003355850
Phone
(203) 816-7115
Address
8 Tilson Ln
Enumeration Date
13 February 2017
Last Update Date
24 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033843000
Graduation Year
2017 (9 years ago)
PAC ID
5193138113
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20210113000888
Address ID
CT066102805BR267XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

766 HOSPITALIST in CT

Provider Addresses for TOMOR SEDALIU

  • 8 Tilson Ln

    Sandy Hook, CT 064821278

    Phone: (203) 816-7115

    Type: Location

  • 267 Grant St

    Bridgeport, CT 066102805

    Phone: (203) 384-4677

    Fax: (203) 384-3135

    Type: Location

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 434-1771

    Type: Mailing

  • 8, Tilson Lane, Sandy Hook, Newtown, Fairfield County, Connecticut, 06482, United States

    SANDY HOOK, CT 064821278

    Phone: (203) 816-7115

    Type: Mailing

  • 20 YORK STREET, CB-329

    NEW HAVEN, CT 065103220

    Phone: (203) 384-4677

    Fax: (203) 384-3135

    Type: Mailing

  • 267 GRANT ST

    BRIDGEPORT, CT 066102805

    Phone: (203) 384-4677

    Fax: (203) 384-3135

    Type: Location

  • 1350 HICKORY ST

    MELBOURNE, FL 329013224

    Phone: (321) 434-1771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210113000888IHospitalistCTTBD
I20250220001229IHospitalistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes213197$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6464$0
99291Critical care, first 30-74 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 06482)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254233836View full group profile

Reviews

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Frequently asked questions

What number should I use to identify TOMOR SEDALIU for billing?
Administrative and clinical systems typically use NPI 1003355850 for TOMOR SEDALIU.
Quick check: is TOMOR SEDALIU active?
Public NPPES data shows TOMOR SEDALIU with an active NPI status right now.
What services align with TOMOR SEDALIU's listing?
TOMOR SEDALIU's public classification highlights Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to TOMOR SEDALIU?
TOMOR SEDALIU shows a connection to Sandy Hook, Connecticut in registry-derived data.
Who maintains TOMOR SEDALIU's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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