ALEXIA T KOUDELLOU (MD) – Gastroenterology Physician, NPI 1346278066

ALEXIA T KOUDELLOU (MD) is a healthcare provider. based in Tolland, Connecticut. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 044946 (CT). The NPI Number for ALEXIA T KOUDELLOU (MD) is 1346278066

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIA T KOUDELLOU (MD)
NPI
1346278066
Phone
(860) 871-6710
Address
SIX FIELDSTONE COMMONS
Enumeration Date
29 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
6204822802
Group Practice PAC ID
5294190245
Professional Enrollment ID
I20070123000309
Address ID
CT060400000MA773XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

401 GASTROENTEROLOGY in CT

Provider Addresses for ALEXIA T KOUDELLOU (MD)

  • SIX FIELDSTONE COMMONS

    SUITE D

    TOLLAND, CT 06084

    Phone: (860) 871-6710

    Fax: (860) 896-4869

    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)

CMS reports 66 Open Payments records for all available years, with a total value of $1,195.

Total Amount is formed as General ($1,195) + Research ($0) + Ownership ($0) = $1,195.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($549).

Total Amount

$1,195

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-01-23

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
I20070123000309IGastroenterologyCTTBD

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
45380Biopsy of large bowel using a flexible endoscope124122$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9896$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare4039$0
43450Dilation of esophagus2222$0
45378Diagnostic exam of large bowel using a flexible endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 06084)

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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: 5294190245View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerCT

Reviews

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Frequently asked questions

What number should I use to identify ALEXIA T KOUDELLOU (MD) for billing?
Administrative and clinical systems typically use NPI 1346278066 for ALEXIA T KOUDELLOU (MD).
Is ALEXIA T KOUDELLOU (MD) currently accepting referrals based on NPI status?
Registry metadata lists ALEXIA T KOUDELLOU (MD) as active.
Which specialty label fits ALEXIA T KOUDELLOU (MD)?
NPPES ties ALEXIA T KOUDELLOU (MD) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ALEXIA T KOUDELLOU (MD) in Tolland, Connecticut?
For routing, start with Tolland, Connecticut for ALEXIA T KOUDELLOU (MD), then verify phone and hours locally.
Can I export ALEXIA T KOUDELLOU (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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