Individual provider Active NPI

Fellipe Monteiro, PA-C

  • Medical Physician Assistant
  • Torrington, CT
National Provider Identifier
1134439516
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5522 Issued in CT
Practice address
1000 E Main St
Torrington, CT 06790-3909
Phone
(860) 496-6884
Fax
(860) 496-2675
NPI assigned
Oct 19, 2010
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014413 NY
Medical Physician Assistant 363AM0700X 5522 CT Primary

Addresses

Primary practice location

1000 E Main St
Torrington, CT 06790-3909

Mailing address

1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337

Other identifiers 1

IdentifierTypeStateIssuer
11-3422995OtherNYTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, MA3 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
I20110516000137 NY Practitioner - Physician Assistant 6002092749 Reassigns benefits to 2 organizations
I20220616001834 CT Practitioner - Physician Assistant 6002092749 Reassigns benefits to 3 organizations
I20250812000542 MA Practitioner - Physician Assistant 6002092749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Connecticut PCGroup PAC ID 5193966893, 39 clinicians

Practice addresses (Care Compare)

1030 Boulevard
West Hartford, CT 06119-1801
Phone (860) 986-6440

1171 E Main St
Torrington, CT 06790-3963
Phone (860) 866-4321

135 E Main St
New Britain, CT 06051-1914
Phone (860) 357-6899

179 Talcottville Rd
Vernon, CT 06066-4615
Phone (860) 986-7600

18 Union St
West Springfield, MA 01089-3317
Phone (413) 781-0100

2 Main St
Danbury, CT 06810-8047
Phone (203) 826-2140

365 Queen St
Southington, CT 06489-1884
Phone (860) 863-5835

415 Cooley St
Unit 3
Springfield, MA 01128-1149
Phone (413) 782-4878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5522CTMDProfessional Counselor
014413NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Sep 1, 2022 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jun 1, 2023 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Jun 5, 2025 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jun 1, 2023 Accepting new patients
Sun River Health Inc. CurrentSince Dec 2, 2019 Accepting new patients
Sun River Health Inc CurrentSince Dec 2, 2019 Accepting new patients
Afc Physicians of Massachusetts CurrentSince Jun 5, 2025 Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

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

1000 E Main St
Torrington, CT 06790
Phone (860) 496-2675

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

Organizations & group practices 12

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1134439516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HARTFORD HEALTHCARE-CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903909",
            "telephone_number": "860-496-6884",
            "fax_number": "860-496-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEIRO",
        "first_name": "FELLIPE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014413",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "5522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "11-3422995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.