Individual provider Active NPI

Uma Trivedi, PA

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1093735656
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1680 Issued in CT
Practice address
85 Gillett St
Hartford, CT 06105-2630
Phone
(860) 969-5554
Fax
(860) 461-1151
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 001680 CT
Physician Assistant 363A00000X 1680 CT Primary

Addresses

Primary practice location

85 Gillett St
Hartford, CT 06105-2630

Mailing address

85 Gillett St
Hartford, CT 06105-2630
Phone (860) 969-5554

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
I20051010000433 CT Practitioner - Physician Assistant 0840215877 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1680CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center CurrentSince Sep 3, 2017 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Jan 21, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Nov 20, 2017 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Nov 13, 2011 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Nov 20, 2017 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Nov 13, 2011 Accepting new patients
Advanced Treatment Solutions LLC PastSince Mar 13, 2022 Accepting new patients
Saint Raphael Faculty Physicians Physician Assistant Past Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
Ste E119
New Britain, CT 06052
Phone (860) 224-5305

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

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

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1093735656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GILLETT ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052630",
            "telephone_number": "860-969-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GILLETT ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052630",
            "telephone_number": "860-969-5554",
            "fax_number": "860-461-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "UMA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001680",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.