NPIMap

Individual provider Active NPI

Grace Cha, M.D.

  • Family Medicine Physician
  • Meriden, CT
National Provider Identifier
1083068522
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66551 Issued in CT
Practice address
61 Pomeroy Ave Unit 1
Meriden, CT 06450-7483
Phone
(203) 694-5340
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66551 CT Primary

Addresses

Primary practice location

61 Pomeroy Ave Unit 1
Meriden, CT 06450-7483

Mailing address

1290 Silas Deane Hwy FL 1
Wethersfield, CT 06109-4337
Phone (860) 972-6970

Other names 1

  • Grace NA Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Middletown

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013003022 CT Practitioner - Family Practice 4880984483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

61 Pomeroy Ave
Meriden, CT 06450-7482
Phone (203) 694-5340

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66551CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 28, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 28, 2023 Accepting new patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

61 Pomeroy Ave
Unit 1
Meriden, CT 06450
Phone (203) 694-5340

61 Pomeroy Ave
Meriden, CT 06450
Phone (203) 694-5340

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970

Interoperability endpoints

  • Direct secure messaging: grace.cha@xdr.hhchealthdirect.org

Organizations & group practices 4

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 4

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1083068522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY FL 1",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 POMEROY AVE UNIT 1",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507483",
            "telephone_number": "203-694-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "GRACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "66551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Middletown",
            "affiliation": "N",
            "endpointDescription": "Main Office",
            "address_1": "90 S Main St",
            "city": "Middletown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064573649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "NA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.