JONATHAN ELDOR (M.D.) – Surgical Critical Care Physician, NPI 1558620328

JONATHAN ELDOR (M.D.) is a healthcare provider. based in Hartford, Connecticut. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 287517 (MA). The NPI Number for JONATHAN ELDOR (M.D.) is 1558620328

Main info

Male
14 Years Of Experience
Name
JONATHAN ELDOR (M.D.)
NPI
1558620328
Phone
Not provided
Address
80 SEYMOUR STREET CVO - PROVIDER ENROLLMENT
Enumeration Date
14 May 2012
Last Update Date
24 July 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
6034315242
Graduation Year
2012 (14 years ago)
PAC ID
9739453986
Group Practice PAC ID
7012375819
Professional Enrollment ID
I20210125000563
Address ID
NH038017112PO330XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

525 GENERAL SURGERY in CT

Provider Addresses for JONATHAN ELDOR (M.D.)

  • 80 SEYMOUR STREET CVO - PROVIDER ENROLLMENT

    HARTFORD, CT 061028000

    Phone:

    Type: Mailing

  • 80 SEYMOUR STREET

    DEPARTMENT OF SURGERY

    HARTFORD, CT 06102

    Phone: (860) 972-5022

    Type: Location

  • PO BOX 412503

    BOSTON, MA 022412503

    Phone: (617) 726-3884

    Type: Mailing

  • 789 CENTRAL AVE

    DOVER, NH 038202526

    Phone: (603) 749-2266

    Fax: (603) 610-8096

    Type: Location

  • 80 Seymour Street

    Department of Surgery

    Hartford, CT 06102

    Phone: (860) 972-5022

    Type: Location

  • 2430 20th St SW

    Jamestown, ND 584016201

    Phone: (701) 253-5300

    Type: Location

  • 789 Central Ave

    Dover, NH 038202526

    Phone: (603) 749-2266

    Fax: (603) 610-8096

    Type: Location

  • 55 FRUIT ST

    BOSTON, MA 021142621

    Phone: (617) 726-9591

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $2,445.

Total Amount is formed as General ($2,445) + Research ($0) + Ownership ($0) = $2,445.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,422).

Total Amount

$2,445

General + Research + Ownership

Payments

11

Total payment records

General Amount

$2,445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210125000563IGeneral SurgeryNHTBD
I20211102003142IGeneral SurgeryMATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2219$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2017$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 06102)

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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: 7012375819View full group profile
NameSpecialtyState
Physician AssistantUT
Physician AssistantNH
General SurgeryCA
Nurse PractitionerNH
Physician AssistantMA
General SurgeryCO
Physician AssistantNH
Physician AssistantCT
Nurse PractitionerNH
Physician AssistantNH

Reviews

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Frequently asked questions

How do I look up JONATHAN ELDOR (M.D.) by NPI?
Use NPI 1558620328 when you need to reference JONATHAN ELDOR (M.D.) in forms, claims, or directories.
Does this profile mean JONATHAN ELDOR (M.D.) is currently active?
Yes — JONATHAN ELDOR (M.D.) appears active in the national provider directory.
What kind of provider is JONATHAN ELDOR (M.D.)?
The page reflects Surgical Critical Care Physician for JONATHAN ELDOR (M.D.). Clinical services aligned with this taxonomy classification.
Where is JONATHAN ELDOR (M.D.)'s primary listing?
We display Hartford, Connecticut because that is what the record indicates for JONATHAN ELDOR (M.D.).
What if Hartford, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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