Individual provider Active NPI

Amanda Famolare Votto, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1053417535
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AP1912 Issued in MA
Practice address
75 Francis St
Brighman and Women's Hospital- Hospitalist Service
Boston, MA 02115-6110
Phone
(617) 278-0055
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 AP1912 MA Primary

Addresses

Primary practice location

75 Francis St
Brighman and Women's Hospital- Hospitalist Service
Boston, MA 02115-6110

Mailing address

1062 Barnes Rd
Ste 300
Wallingford, CT 06492-2576
Phone (860) 525-1532

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
I20101110000798 CT Practitioner - Physician Assistant 2860576360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consulting Cardiologists PCGroup PAC ID 7113916149, 23 clinicians

Practice addresses (Care Compare)

1062 Barnes Rd
Suite 300
Wallingford, CT 06492-2576
Phone (203) 265-9831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.73 of 100Reported as group
Quality
68.37
Promoting interoperability
100
Improvement activities
40
Cost
76.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2421CTMDMarriage & Family Therapist
AP1912MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Heart Physicians, Inc. PastSince Jul 24, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.votto.1@6291.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1053417535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "address_2": "STE 300",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922576",
            "telephone_number": "860-525-1532",
            "fax_number": "203-265-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "BRIGHMAN AND WOMEN'S HOSPITAL- HOSPITALIST SERVICE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-278-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTTO",
        "first_name": "AMANDA",
        "middle_name": "FAMOLARE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "AP1912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.