Dr James R Doran, MD - Medicare Family Practice in Higganum, CT

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Dr James R Doran, MD is a medicare enrolled "Family Medicine" physician in Higganum, Connecticut. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prospect Ct Medical Foundation Inc and his current practice location is 415 Killingworth Rd, Higganum, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 345-8535.

Dr James R Doran is licensed to practice in Connecticut (license number 51345) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942249610.

Contact Information

Dr James R Doran, MD
415 Killingworth Rd,
Higganum, CT 06441-4392
(860) 345-8535
(860) 345-8678

Map and Direction




Physician's Profile

Full NameDr James R Doran
GenderMale
SpecialityFamily Practice
Experience25 Years
Location415 Killingworth Rd, Higganum, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James R Doran attended and graduated from State University Of New York At Buffalo School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1942249610
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 12/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698701548
  • Enrollment ID: I20121113000430

Medical Identifiers

Medical identifiers for Dr James R Doran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942249610NPI-NPPES
03704381MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 51345 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Manchester Memorial HospitalManchester, CTHospital
Rockville General HospitalRockville, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prospect Ct Medical Foundation Inc7416244496272

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James R Doran allows following entities to bill medicare on his behalf.
Entity NameNatchaug Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295811321
PECOS PAC ID: 5395648737
Enrollment ID: O20040202000008
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007
Entity NameProspect Ct Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144677568
PECOS PAC ID: 7416244496
Enrollment ID: O20160919001322

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James R Doran is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James R Doran, MD
629 Middle Tpke E,
Manchester, CT 06040-3731

Ph: (860) 649-6900		Dr James R Doran, MD
415 Killingworth Rd,
Higganum, CT 06441-4392

Ph: (860) 345-8535

Reviews and Comments


Family Medicine Doctors in Higganum, CT

Dr. Linda H Schroth, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 415 Killingworth Rd, Higganum, CT 06441
Phone: 860-345-8535    Fax: 860-345-8678
Michael Kalinowski, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 Killingworth Road, Higganum, CT 06441
Phone: 860-345-8535    Fax: 860-345-8678
Julie Marie Huston, APRN
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 415 Killingworth Rd, Higganum, CT 06441
Phone: 860-345-8535    
Dr. Mario Amleto, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 415 Killingworth Rd, Higganum, CT 06441
Phone: 860-345-8535    Fax: 860-345-8678
Dr. Timothy J Buckley, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 Killingworth Rd, Higganum, CT 06441
Phone: 860-345-8535    Fax: 860-345-8678

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.