Individual provider Active NPI

Meghan Luoma, PA-C

  • Physician Assistant
  • Niantic, CT
National Provider Identifier
1093482911
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
248 Flanders Rd
Niantic, CT 06357-1264
Phone
(860) 739-5426
NPI assigned
Aug 27, 2021
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 NU Primary

Addresses

Primary practice location

248 Flanders Rd
Niantic, CT 06357-1264

Mailing address

2210 Zeeb Rd
Dexter, MI 48130-9714
Phone (734) 660-6924

Other identifiers 1

IdentifierTypeStateIssuer
6780OtherCTSTATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, PA, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241203002060 CT Practitioner - Physician Assistant 4789119546 Reassigns benefits to 2 organizations
I20260420002085 PA Practitioner - Physician Assistant 4789119546 Reassigns benefits to 1 organization
I20260427002850 VT Practitioner - Physician Assistant 4789119546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Connecticut Institute for Communities IncGroup PAC ID 3779623228, shared by 2 NPIs, 45 clinicians

Practice addresses (Care Compare)

120 Main St
Danbury, CT 06810-7834
Phone (203) 743-9760

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Oct 1, 2025 Accepting new patients
Connecticut Institute for Communities Inc Current Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

248 Flanders Rd
Niantic, CT 06357
Phone (860) 739-5426

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: mluoma701188@direct.ynhh.org

Organizations & group practices 5

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1093482911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 ZEEB RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309714",
            "telephone_number": "734-660-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 FLANDERS RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571264",
            "telephone_number": "860-739-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUOMA",
        "first_name": "MEGHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "6780",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

Verify at the official NPI Registry.