Individual provider Active NPI

Andrew Lemire

  • Physician Assistant
  • Old Saybrook, CT
National Provider Identifier
1043182322
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7220 Issued in CT
Practice address
599 Middlesex Tpke
Old Saybrook, CT 06475-1201
Phone
(844) 482-7285
NPI assigned
Sep 18, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7220 CT Primary

Addresses

Primary practice location

599 Middlesex Tpke
Old Saybrook, CT 06475-1201

Mailing address

33 Shannon LN
Groton, CT 06340-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031003291 CT Practitioner - Physician Assistant 0941799647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Connecticut Vascular Center LLCGroup PAC ID 8527951532, 32 clinicians

Practice addresses (Care Compare)

599 Middlesex Tpke
Old Saybrook, CT 06475-1201
Phone (860) 661-1383

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7220CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Connecticut Vascular Center, LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

47 Palomba Dr
Ste 202
Enfield, CT 06082
Phone (860) 247-3279

55 South Rd
Ste 110
Farmington, CT 06032
Phone (860) 773-0313

360 Tolland Tpke
Ste 1A
Manchester, CT 06042
Phone (860) 533-6551

400 Saybrook Rd
Ste 110
Middletown, CT 06457
Phone (860) 347-9167

2 Shaws Cv
Ste 203
New London, CT 06320
Phone (860) 772-0380

79 Wawecus St
Ste 104
Norwich, CT 06360
Phone (860) 237-5458

599 Middlesex Tpke
Old Saybrook, CT 06475
Phone (203) 799-1252

495 Hawley Ln
Ste 2A
Stratford, CT 06614
Phone (203) 210-6333

Interoperability endpoints

  • Direct secure messaging: andrew.lemire.1@32135.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1043182322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SHANNON LN",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 MIDDLESEX TPKE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751201",
            "telephone_number": "844-482-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIRE",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "7220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.