DR. MICHAEL CONNOLLY (M.D.) – Pediatrics Physician, NPI 1255390555

DR. MICHAEL CONNOLLY (M.D.) is a healthcare provider. based in Stratford, Connecticut. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 028136 (CT). The NPI Number for DR. MICHAEL CONNOLLY (M.D.) is 1255390555

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL CONNOLLY (M.D.)
NPI
1255390555
Phone
(203) 378-3080
Address
2900 MAIN ST
Enumeration Date
23 March 2006
Last Update Date
31 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
3476612557
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20090302000560
Address ID
CT066144946ST2900XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

414 PEDIATRIC MEDICINE in CT

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Provider Addresses for DR. MICHAEL CONNOLLY (M.D.)

  • 2900, Main Street, Stratford, Fairfield County, Connecticut, 06614, United States

    SUITE 3C

    STRATFORD, CT 066144946

    Phone: (203) 378-3080

    Fax: (203) 377-3897

    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: 2009-03-02

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
I20090302000560IPediatric MedicineCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes218124$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit104104$0
83036Hemoglobin a1c level4131$0
G0008Administration of influenza virus vaccine3131$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3030$0
View full utilization report →

Insurance plans in this area (ZIP 06614)

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Provider's Procedures

DR. MICHAEL CONNOLLY (M.D.) performs procedures in PEDIATRIC MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PEDIATRIC MEDICINECT90670Pneumococcal vaccine for injection into muscle4747

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
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MICHAEL CONNOLLY (M.D.)?
NPI 1255390555 is assigned to DR. MICHAEL CONNOLLY (M.D.) under the national enumeration system.
Is DR. MICHAEL CONNOLLY (M.D.) active in the national directory?
DR. MICHAEL CONNOLLY (M.D.)'s public NPI profile is in an active state.
What does DR. MICHAEL CONNOLLY (M.D.) treat or focus on?
Patients typically see DR. MICHAEL CONNOLLY (M.D.) under the specialty Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Does DR. MICHAEL CONNOLLY (M.D.) practice in Connecticut?
You will see Stratford, Connecticut on file for DR. MICHAEL CONNOLLY (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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