ELIZABETH REYNOLDS (MD) – Adult Medicine Physician, NPI 1932109162

ELIZABETH REYNOLDS (MD) is a healthcare provider. based in Hartford, Connecticut. specializing in Adult Medicine Physician. They hold the professional credentials MD. They hold a License No. 52148 (CT). The NPI Number for ELIZABETH REYNOLDS (MD) is 1932109162

Main info

Female
28 Years Of Experience
Name
ELIZABETH REYNOLDS (MD)
NPI
1932109162
Phone
(860) 249-9625
Address
500 ALBANY AVE
Enumeration Date
29 July 2005
Last Update Date
15 February 2021

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8602499625
Graduation Year
1998 (28 years ago)
PAC ID
4082716980
Group Practice PAC ID
3870564172
Professional Enrollment ID
I20140626002288
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for ELIZABETH REYNOLDS (MD)

  • 500, Albany Avenue, Clay-Arsenal, Hartford, Hartford County, Connecticut, 06120, United States

    HARTFORD, CT 061202508

    Phone: (860) 249-9625

    Fax: (860) 808-1536

    Type: Mailing

  • BARTON ASSOCIATES

    300 JUBILEE DRIVE

    PEABODY, MA 019602508

    Phone: (860) 249-9625

    Fax: (860) 808-1536

    Type: Location

  • PO BOX 529

    YONKERS, NY 107100529

    Phone: (347) 454-1759

    Type: Mailing

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: 2014-06-26

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
I20070223000314IFamily PracticeNYTBD
I20140626002288IFamily PracticeCTTBD

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 06120)

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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: 3870564172View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Nurse PractitionerCT
-CT
Clinical Social WorkerCT
Nurse PractitionerCT
Nurse PractitionerMA
O P T O M E T R YCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELIZABETH REYNOLDS (MD)?
ELIZABETH REYNOLDS (MD) — NPI 1932109162 — is the standard way to identify this listing.
Does CMS list ELIZABETH REYNOLDS (MD) as active?
Yes — ELIZABETH REYNOLDS (MD) is active in the NPI listing used on this page.
What is ELIZABETH REYNOLDS (MD) best known for clinically?
Directory data describes ELIZABETH REYNOLDS (MD) with Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH REYNOLDS (MD) based?
ELIZABETH REYNOLDS (MD) is tied to Hartford, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.