REBECCA ELECK (MD) – Family Medicine Physician, NPI 1083890065

REBECCA ELECK (MD) is a healthcare provider. based in Middletown, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 049357 (CT). The NPI Number for REBECCA ELECK (MD) is 1083890065

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA ELECK (MD)
NPI
1083890065
Phone
(860) 347-6971
Address
635 MAIN ST
Enumeration Date
21 January 2008
Last Update Date
13 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8607933500
Graduation Year
2007 (19 years ago)
PAC ID
6800065467
Group Practice PAC ID
0345147153
Professional Enrollment ID
I20161010001204
Address ID
CT061052363HA43XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

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Provider Addresses for REBECCA ELECK (MD)

  • 635, Main Street, Middletown, Middlesex County, Connecticut, 06457, United States

    MIDDLETOWN, CT 064572718

    Phone: (860) 347-6971

    Fax: (860) 343-7379

    Mailing address matches the actual address.

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: 2016-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20161010001204IFamily PracticeCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06457)

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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: 0345147153View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Family PracticeCT
Mental Health CounselorCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Nurse PractitionerCT
Clinical Social WorkerCT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm REBECCA ELECK (MD)'s NPI?
Yes. REBECCA ELECK (MD) is listed with NPI 1083890065 in the public NPI dataset.
Can I rely on REBECCA ELECK (MD) being an active provider?
As of the registry snapshot, REBECCA ELECK (MD) is marked active.
What is REBECCA ELECK (MD)'s specialty?
The listing groups REBECCA ELECK (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is REBECCA ELECK (MD) based?
REBECCA ELECK (MD) is tied to Middletown, Connecticut in the data we show; additional addresses may exist on the full record.
Is the information about REBECCA ELECK (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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