Individual provider Active NPI

Sheree M Rascati, PA

  • Physician Assistant
  • New Haven, CT
National Provider Identifier
1053562926
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002175 Issued in CT
Practice address
330 Orchard St.
Suite 316
New Haven, CT 06511
Phone
(203) 781-3400
Fax
(203) 781-3414
NPI assigned
Oct 9, 2008
Last updated
May 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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 002175 CT Primary

Addresses

Primary practice location

330 Orchard St.
Suite 316
New Haven, CT 06511

Mailing address

330 Orchard St.
Suite 316
New Haven, CT 06511
Phone (203) 781-3400

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
I20081210000172 CT Practitioner - Physician Assistant 4385705201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Docs Medical IncGroup PAC ID 3173895000, 30 clinicians
Healthnation, PCGroup PAC ID 4486092640, 10 clinicians
CT Medical Group Inc.Group PAC ID 9739663105, 35 clinicians

Practice addresses (Care Compare)

141 Danbury Rd
New Milford, CT 06776-3428
Phone (203) 874-3682

317 Foxon Rd
East Haven, CT 06513-2038
Phone (203) 529-3271

354 Sawmill Rd
West Haven, CT 06516-4005
Phone (203) 896-7000

521 Boston Post Rd
Orange, CT 06477-3506
Phone (203) 529-3271

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002175CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Raphael Healthcare System Affiliated Physicians Inc Physician Assistant Past Accepting new patients
CT Emergency Medicine Specialists, LLC Past Accepting new patients
Healthnation PC Past Accepting new patients
Saint Raphael Faculty Physicians Physician Assistant Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Physician Assistant Past Accepting new patients
CT Medical Group Inc. Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1053562926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ORCHARD ST.",
            "address_2": "SUITE 316",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-781-3400",
            "fax_number": "203-781-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ORCHARD ST.",
            "address_2": "SUITE 316",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-781-3400",
            "fax_number": "203-781-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCATI",
        "first_name": "SHEREE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.