Jon R Pirrello, M. D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

53626 Issued in CT

Practice address

1000 Asylum Ave
Suite #2102
Hartford, CT 06105-1770

Phone

(860) 714-7128

Fax

(860) 714-8076

NPI assigned

Jun 15, 2006

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, NY, WA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

General Surgery

Education

New York Medical College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Hospital District No 3 of Whitman CountyGroup PAC ID 7719875020, 18 clinicians

Holy Rosary HealthcareGroup PAC ID 8921045667, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Rosary Hospital Hospital, Miles City, MT, CCN 271347
• Whitman Hospital and Medical Center Hospital, Colfax, WA, CCN 501327

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpirello196836@direct-guthrie.org

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.

• Holy Rosary Healthcare

  dba Baker Clinic - OB-GYN

  • Clinic/Center
  • Miles City, MT
  • NPI 1225201825
  Medicare reassignment Care Compare group NPD
• Public Hospital District No 3 of Whitman County

  dba Whitman Hospital & Medical Center

  • Critical Access Hospital
  • Colfax, WA
  • NPI 1922009448
  Medicare reassignment Care Compare group NPD
• Claxton Medical PC

  • Pediatrics Physician
  • Ogdensburg, NY
  • NPI 1114164944
  Medicare reassignment NPD
• Claxton Medical PC

  dba Claxton Hepburn Convenient Care

  • Family Medicine Physician
  • Ogdensburg, NY
  • NPI 1013399617
  NPD
• Carolina Weight Loss Surgery

  • Surgery Physician
  • Concord, NC
  • NPI 1215993639
  NPD (past)
• Whitman Medical Group PS

  • Family Medicine Physician
  • Colfax, WA
  • NPI 1730289596
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Rosary Healthcare

  dba Intermountain Health Holy Rosary Hospital

  • Critical Access Hospital
  • Miles City, MT
  • NPI 1396074548
  Care Compare affiliation
• Public Hospital District No 3 of Whitman County

  dba Whitman Hospital & Medical Center

  • Critical Access Hospital
  • Colfax, WA
  • NPI 1922009448
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1114961604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE #2102",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-7128",
            "fax_number": "860-714-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE #2102",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-7128",
            "fax_number": "860-714-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRELLO",
        "first_name": "JON",
        "middle_name": "R",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2006-00634",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "53626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Pinter, CRNA
• Tricia Rita Pinto, MD
• Jessica Mordarski Piorkowski, NP-C, CWOCN
• Robert Joseph Piorkowski, MD
• Steven Remo Pirola, PA
• Stacey Diana Piscottano, LMSW
• Nellie Piurkowski, LCSW
• Stanley Pizzitola, DMD
• Planned Parenthood of CT, Inc
• Emily Margaret Plant

• Surgery Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.