ANNE MARIE PRABULOS (MD) – Maternal & Fetal Medicine Physician, NPI 1235136680

ANNE MARIE PRABULOS (MD) is a healthcare provider. based in Farmington, Connecticut. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 034574 (CT). The NPI Number for ANNE MARIE PRABULOS (MD) is 1235136680

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
ANNE MARIE PRABULOS (MD)
NPI
1235136680
Phone
(860) 679-7503
Address
263 FARMINGTON AVE
Enumeration Date
30 June 2005
Last Update Date
12 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8603586486
Graduation Year
1991 (35 years ago)
PAC ID
2769517150
Group Practice PAC ID
5092611731
Professional Enrollment ID
I20100324000701
Address ID
CT064573654MI28XXXSTXX300

Contacts

Secure Messaging
aprabulos10038@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

827 OBSTETRICS/GYNECOLOGY in CT

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Provider Addresses for ANNE MARIE PRABULOS (MD)

  • University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States

    PROVIDER ENROLLMENT

    FARMINGTON, CT 060302212

    Phone: (860) 679-7503

    Fax: (860) 679-1610

    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: 2010-03-24

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
I20100324000701IObstetrics/GynecologyCTTBD

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 06030)

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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: 5092611731View full group profile
NameSpecialtyState
Family Practice, HospitalistCT
-CT
H O S P I T A L I S TDC
H O S P I T A L I S TCT
Nurse PractitionerCT
Family Practice, Geriatric MedicineCT
-CT
H O S P I T A L I S TCT
-CT
Physician AssistantCT

Reviews

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Frequently asked questions

Can I verify ANNE MARIE PRABULOS (MD) with an NPI only?
You can start verification with NPI 1235136680 for ANNE MARIE PRABULOS (MD), then check state licensing separately.
Is ANNE MARIE PRABULOS (MD) listed as active for patients and plans?
The listing shows ANNE MARIE PRABULOS (MD) as active in the NPI system.
What taxonomy line describes ANNE MARIE PRABULOS (MD)?
For research purposes, treat ANNE MARIE PRABULOS (MD) as Maternal & Fetal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ANNE MARIE PRABULOS (MD) on a map?
Expect Farmington, Connecticut as a primary anchor for ANNE MARIE PRABULOS (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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