KISMATKUMAR DETROJA (MD) – Internal Medicine Physician, NPI 1497774657
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KISMATKUMAR DETROJA (MD)
1000 SILVER STREET
MIDDLETOWN, CT 06457
Phone: (860) 951-4954
Type: Location
170 TALCOTT RIDGE RD
SOUTH WINDSOR, CT 060742386
Phone: (860) 794-9160
Type: Mailing
Buckland Street, Buckland, Manchester, Hartford County, Connecticut, 06074, United States
APT 121 2
MANCHESTER, CT 060427700
Phone: (860) 647-0092
Type: Mailing
Windham Hospital, 112, Mansfield Avenue, Willimantic, Windham, Windham County, Connecticut, 06226, United States
ARBOR INPATIENT PHYSICIANS PC
WILLIMANTIC, CT 062262041
Phone: (860) 456-9116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2006-08-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060802000483 | I | Internal Medicine | CT | TBD |
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.
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)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CT | |
| Certified Nurse Midwife (Cnm) | WA | |
| Internal Medicine | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Internal Medicine | CT | |
| - | CT | |
| Internal Medicine | NY | |
| Internal Medicine | NY | |
| Clinical Social Worker | CT | |
| Geriatric Psychiatry, Psychiatry | CT |
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.