Alex Scott Cadan, PA-C
Individual provider Active NPI Surgical Physician Assistant · Bridgeport, CT
NPI 1003009424 · NPPES record last updated Aug 20, 2007
Key facts
- NPI
- 1003009424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 001949 (CT)
- Practice address
- 267 Grant St
Bridgeport, CT 06610-2805 - Phone
- (203) 384-4500
- Fax
- (203) 384-3812
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388
Hospital & facility affiliations
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000236 | CT | Practitioner - Physician Assistant | 8527153360 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1949 | CT | MD | Occupational Therapy Assistant |
| 001949 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current |
Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current |
Accepting new patients | |
| Bridgeport Hospital | Past | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- https://patientfhirapis.ynhh.org/PFF/api/FHIR/R4
- acadan10589@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 001949 | CT | Yes |
Addresses
Primary practice location
267 Grant St
Bridgeport, CT 06610-2805
Mailing address
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902000276 | Other | CT | NPI GROUP # |
Other providers in Bridgeport, CT
- Sabrina Butler
- William R Butler
- Eleanor Marie Cabrera Aguirre
- John Cacace
- Paige Cackovic
- Rachel Cadan
- Concetta Marie Cadella
- Cara Elizabeth Cahill
- Justin Cahill
- Amanda Cain
All providers in Bridgeport, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.